Organization
UNIFIED HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALMY FOTENDONG PMHNP (PRESIDENT)
(301) 675-2451
Entity
Organization
Contact information
Practice address
3218 WINTER PARK CT, UPPER MARLBORO, MD 20774-7550
(240) 334-8303
Mailing address
3218 WINTER PARK CT, UPPER MARLBORO, MD 20774-7550
(240) 334-8303
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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