LEGACY MEDICAL CLINIC WITH MENTAL HEALTH, LLC

TEMPLE HILLS, MD
NPI1487272910
Entity TypeOrganization
Authorized ContactCHINASA L NWAULU
Co Owner
301-880-4900
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
Additional Taxonomies363LF0000X Nurse Practitioner Family
Enumeration Date2020-07-10
Last Update Date2024-02-13
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: