Organization
CJ HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIUS FOMENGIA (ADMINISTRATOR)
(240) 463-3357
Entity
Organization
Contact information
Practice address
4920 NIAGARA RD, COLLEGE PARK, MD 20740-1110
(240) 463-3357
Mailing address
4920 NIAGARA RD, COLLEGE PARK, MD 20740-1110
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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