| Oxon Hill- School Based Wellness | |
|
6701 Leyte Drive Oxon Hill MD 20745 | |
| (240) 724-1442 | |
| Not Available |
| Full Name | Oxon Hill- School Based Wellness |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 6701 Leyte Drive, Oxon Hill, Maryland |
| Authorized Official Name and Position | Tamala Butler (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3018837822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oxon Hill- School Based Wellness 1701 Mccormick Dr Ste 120 Largo MD 20774-5329 Ph: () - | Oxon Hill- School Based Wellness 6701 Leyte Drive Oxon Hill MD 20745 Ph: (240) 724-1442 |
| NPI Number | 1083102438 |
|---|---|
| Provider Enumeration Date | 05/01/2018 |
| Last Update Date | 02/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083102438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | (* (Not Available)) | Secondary |
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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