| Jamoy Llc | |
|
1216 Lobo Ct Abingdon MD 21009-4302 | |
| (443) 841-6262 | |
| Not Available |
| Full Name | Jamoy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1216 Lobo Ct, Abingdon, Maryland |
| Authorized Official Name and Position | Stephen Songonuga (PRESIDENT) |
| Authorized Official Contact | 4438416262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamoy Llc 1216 Lobo Ct Abingdon MD 21009-4302 Ph: (443) 841-6262 | Jamoy Llc 1216 Lobo Ct Abingdon MD 21009-4302 Ph: (443) 841-6262 |
| NPI Number | 1043024599 |
|---|---|
| Provider Enumeration Date | 02/05/2025 |
| Last Update Date | 02/05/2025 |
| Certification Date | 02/05/2025 |
| Medicare PECOS PAC ID | 2264952357 |
|---|---|
| Medicare Enrollment ID | O20250219002474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043024599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Stephen M Songonuga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124658687 PECOS PAC ID: 9638609860 Enrollment ID: I20250204000260 |
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