Organization
MY MOBILE PRIMARY HEALTH CARE, LLC
Active
Other names
MMPHC
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY SANTIAGO (OPERATIONS MANAGER)
(256) 508-9034
Entity
Organization
Contact information
Practice address
11006 VEIRS MILL RD, SUITE L-15-299, SILVER SPRING, MD 20902-2582
(202) 681-9661
Mailing address
11006 VEIRS MILL RD, SUITE L-15-299, SILVER SPRING, MD 20902-2582
(202) 681-9661
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R185090
MD
Other
Enumeration date
08/12/2014
Last updated
06/19/2015
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