| Primal Point LLC | |
|
9001 Harford Rd Parkville MD 21234-4029 | |
| (410) 870-1590 | |
| Not Available |
| Full Name | Primal Point LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9001 Harford Rd, Parkville, Maryland |
| Authorized Official Name and Position | Ngufor Fube Divine (PRESIDENT) |
| Authorized Official Contact | 2404238757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primal Point LLC 9001 Harford Rd Parkville MD 21234-4029 Ph: (410) 870-1590 | Primal Point LLC 9001 Harford Rd Parkville MD 21234-4029 Ph: (410) 870-1590 |
| NPI Number | 1568231298 |
|---|---|
| Provider Enumeration Date | 12/21/2023 |
| Last Update Date | 06/04/2026 |
| Certification Date | 06/04/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568231298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
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