| Miso Medical Center | |
|
14440 Cherry Lane Ct Ste 218 Laurel MD 20707-4946 | |
| (240) 918-3829 | |
| Not Available |
| Full Name | Miso Medical Center |
|---|---|
| Speciality | Psychologist - Health Service |
| Location | 14440 Cherry Lane Ct Ste 218, Laurel, Maryland |
| Authorized Official Name and Position | Ifeoma Onyia (CEO) |
| Authorized Official Contact | 2409183829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miso Medical Center 14440 Cherry Lane Ct Ste 218 Laurel MD 20707-4946 Ph: (240) 918-3829 | Miso Medical Center 14440 Cherry Lane Ct Ste 218 Laurel MD 20707-4946 Ph: (240) 918-3829 |
| NPI Number | 1407516313 |
|---|---|
| Provider Enumeration Date | 12/20/2021 |
| Last Update Date | 12/20/2021 |
| Certification Date | 12/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407516313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | (* (Not Available)) | Primary |
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