Mimshack Inc | |
5457 Twin Knolls Road 300, #1194 Columbia MD 21045 | |
(630) 885-1552 | |
Not Available |
Full Name | Mimshack Inc |
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Speciality | Clinic/center |
Location | 5457 Twin Knolls Road, Columbia, Maryland |
Authorized Official Name and Position | Abenaa Asiama (NP) |
Authorized Official Contact | 6308851552 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mimshack Inc 5457 Twin Knolls Road 300, #1194 Columbia MD 21045 Ph: (630) 885-1552 | Mimshack Inc 5457 Twin Knolls Road 300, #1194 Columbia MD 21045 Ph: (630) 885-1552 |
NPI Number | 1932910221 |
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Provider Enumeration Date | 01/15/2025 |
Last Update Date | 01/15/2025 |
Identifier | Type | State | Issuer |
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1932910221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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