| NPI | 1366057523 |
|---|---|
| Other Name | PRINCE GEORGE'S COUNTY HEALTH DEPT-DIABETES PREV PGM |
| Entity Type | Organization |
| Authorized Contact | TAMALA VICKS Credentialing Specialist 301-883-7822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2025-07-22 |