| Work Life Primary Care Llc | |
|
7954 Baltimore Annapolis Blvd Suite 2-c Glen Burnie MD 21060-8188 | |
| (410) 487-6052 | |
| (443) 960-4203 |
| Full Name | Work Life Primary Care Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7954 Baltimore Annapolis Blvd, Glen Burnie, Maryland |
| Authorized Official Name and Position | Bamoyo Nkongolo (OWNER) |
| Authorized Official Contact | 3025629437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Work Life Primary Care Llc 7954 Baltimore Annapolis Blvd Suite 2-c Glen Burnie MD 21060-8188 Ph: (410) 487-6052 | Work Life Primary Care Llc 7954 Baltimore Annapolis Blvd Suite 2-c Glen Burnie MD 21060-8188 Ph: (410) 487-6052 |
| NPI Number | 1669912259 |
|---|---|
| Provider Enumeration Date | 03/01/2017 |
| Last Update Date | 03/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669912259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | C03263 (Maryland) | Primary |
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