| Wellness Cube Llc | |
|
9131 Piscataway Rd Ste 150 Clinton MD 20735-2510 | |
| (202) 365-1120 | |
| Not Available |
| Full Name | Wellness Cube Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9131 Piscataway Rd Ste 150, Clinton, Maryland |
| Authorized Official Name and Position | Tameka Gabourel-anthony (PRESIDENT) |
| Authorized Official Contact | 2022620916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Cube Llc 9131 Piscataway Rd Ste 150 Clinton MD 20735-2510 Ph: (202) 365-1120 | Wellness Cube Llc 9131 Piscataway Rd Ste 150 Clinton MD 20735-2510 Ph: (202) 365-1120 |
| NPI Number | 1790417772 |
|---|---|
| Provider Enumeration Date | 06/28/2022 |
| Last Update Date | 08/14/2023 |
| Medicare PECOS PAC ID | 5395109268 |
|---|---|
| Medicare Enrollment ID | O20230911002556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790417772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Tameka Gabourel-anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699439091 PECOS PAC ID: 2961867460 Enrollment ID: I20230506000028 |
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