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7411 Riggs Rd Ste 300b Hyattsville MD 20783-4246 | |
| (240) 966-4266 | |
| (301) 235-1771 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 7411 Riggs Rd Ste 300b, Hyattsville, Maryland |
| Authorized Official Name and Position | Timothy Nyakango Onserio (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2409664266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10770 Columbia Pike Ste 300-1021 Silver Spring MD 20901-4402 Ph: (240) 966-4266 | 7411 Riggs Rd Ste 300b Hyattsville MD 20783-4246 Ph: (240) 966-4266 |
| NPI Number | 1477269447 |
|---|---|
| Provider Enumeration Date | 01/24/2023 |
| Last Update Date | 12/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477269447 | NPI | - | NPPES |
| 0024189089 | Other | VA | APRN LICENSE |
| O-526793646572 | Other | MD | DRIVERS LICENSE |
| R189170 | Other | MD | CRNP LICENSE |
| APRN11022989 | Other | FL | APRN LICENSE |
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