| Wells Mission Aba | |
|
1810 Jasmine Ter Hyattsville MD 20783-4549 | |
| (240) 423-8259 | |
| Not Available |
| Full Name | Wells Mission Aba |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1810 Jasmine Ter, Hyattsville, Maryland |
| Authorized Official Name and Position | Lorriene Jennifer (OWNER) |
| Authorized Official Contact | 2404238259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wells Mission Aba 1810 Jasmine Ter Hyattsville MD 20783-4549 Ph: (240) 423-8259 | Wells Mission Aba 1810 Jasmine Ter Hyattsville MD 20783-4549 Ph: (240) 423-8259 |
| NPI Number | 1275279309 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 05/11/2022 |
| Certification Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275279309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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