Organization
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMALA VICKS (CREDENTIALING SPECIALIST)
(240) 302-8576
Entity
Organization
Contact information
Practice address
7 REDLEAF ROSE CT, REISTERSTOWN, MD 21136-6046
(301) 883-7879
Mailing address
1701 MCCORMICK DR, LARGO, MD 20774-5329
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/23/2025
Last updated
12/16/2025
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