| J M Creative Services Llc | |
|
6916 Lamont Dr Lanham MD 20706-4607 | |
| (301) 538-8463 | |
| Not Available |
| Full Name | J M Creative Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 6916 Lamont Dr, Lanham, Maryland |
| Authorized Official Name and Position | John Ndambuki (DIRECTOR) |
| Authorized Official Contact | 3015388463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J M Creative Services Llc 6916 Lamont Dr Lanham MD 20706-4607 Ph: (301) 538-8463 | J M Creative Services Llc 6916 Lamont Dr Lanham MD 20706-4607 Ph: (301) 538-8463 |
| NPI Number | 1790329688 |
|---|---|
| Provider Enumeration Date | 11/04/2019 |
| Last Update Date | 11/04/2019 |
| Medicare PECOS PAC ID | 2163829599 |
|---|---|
| Medicare Enrollment ID | O20210927003022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790329688 | NPI | - | NPPES |
| 12131068 | Other | CAQH | |
| LC3069 | Other | MD | LICENSE |
| PRC14114 | Other | DC | LICENSE |
| Provider Name | John M Ndambuki |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538478656 PECOS PAC ID: 7315199957 Enrollment ID: I20121206000297 |
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