LEGACY MEDICAL CLINIC WITH MENTAL HEALTH, LLC

TEMPLE HILLS, MD
NPI1245095843
Entity TypeOrganization
Authorized ContactCHUKS NWAULU
Owner
240-422-0687
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2024-02-14
Last Update Date2024-02-14
Business Address
LEGACY MEDICAL CLINIC WITH MENTAL HEALTH, LLC
4700 STAMP RD STE K
TEMPLE HILLS, MD 20748-6717
Phone number: 301-880-4900
Mailing Address
LEGACY MEDICAL CLINIC WITH MENTAL HEALTH, LLC
9509 MANOR OAKS VW
UPPER MARLBORO, MD 20772-3192
Phone number: