Organization
WORK LIFE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAMOYO NKONGOLO PHYSICIAN ASSISTANT (OWNER)
(302) 562-9437
Entity
Organization
Contact information
Practice address
7954 BALTIMORE ANNAPOLIS BLVD, SUITE 2-C, GLEN BURNIE, MD 21060-8188
(410) 487-6052
(443) 960-4203
Mailing address
7954 BALTIMORE ANNAPOLIS BLVD, SUITE 2-C, GLEN BURNIE, MD 21060-8188
(410) 487-6052
(443) 960-4203
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
C03263
MD
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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