| Mother Of Mine Llc | |
|
1401 Mercantile Ln Ste 200v Largo MD 20774-4312 | |
| (301) 543-9686 | |
| Not Available |
| Full Name | Mother Of Mine Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1401 Mercantile Ln Ste 200v, Largo, Maryland |
| Authorized Official Name and Position | Shineka Patterson (OWNER) |
| Authorized Official Contact | 5404295073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mother Of Mine Llc 1401 Mercantile Ln Ste 200v Largo MD 20774-4312 Ph: () - | Mother Of Mine Llc 1401 Mercantile Ln Ste 200v Largo MD 20774-4312 Ph: (301) 543-9686 |
| NPI Number | 1871201996 |
|---|---|
| Provider Enumeration Date | 11/08/2022 |
| Last Update Date | 11/08/2022 |
| Certification Date | 11/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871201996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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