Organization
PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Active
Other names
Prince George's County Health Dept-Diabetes Prev Pgm
Organization subpart
No
Provider details
NPI number
Authorized official
TAMALA VICKS (CREDENTIALING SPECIALIST)
(301) 883-7822
Entity
Organization
Contact information
Practice address
9314 PISCATAWAY RD, CLINTON, MD 20735-3630
(301) 883-7879
Mailing address
1701 MCCORMICK DR # 120, LARGO, MD 20774-5329
(301) 883-7822
(301) 883-7890
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
12/16/2025
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