Organization
NP FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEMERIA S WILCOX CRNP (OWNER)
(301) 997-4453
Entity
Organization
Contact information
Practice address
22196 THREE NOTCH RD STE 104, LEXINGTON PARK, MD 20653-2008
(301) 997-4453
Mailing address
22196 THREE NOTCH RD, LEXINGTON PARK, MD 20653-2008
(301) 997-4453
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
06/23/2019
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