| Total Wellness & Health Center Inc | |
|
9500 Marlboro Pike Ste 12 Upper Marlboro MD 20772-3766 | |
| (301) 494-1006 | |
| (301) 494-1006 |
| Full Name | Total Wellness & Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9500 Marlboro Pike Ste 12, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Yetunde Sannoh (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2028707275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Wellness & Health Center Inc 9550 Marlboro Pike Suite # 12 Upper Marlboro MD 20772-3766 Ph: (301) 494-1006 | Total Wellness & Health Center Inc 9500 Marlboro Pike Ste 12 Upper Marlboro MD 20772-3766 Ph: (301) 494-1006 |
| NPI Number | 1063169225 |
|---|---|
| Provider Enumeration Date | 03/08/2022 |
| Last Update Date | 04/06/2022 |
| Medicare PECOS PAC ID | 7113304056 |
|---|---|
| Medicare Enrollment ID | O20220516002239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063169225 | NPI | - | NPPES |
| D0075522 | Other | MD | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Yetunde A Sannoh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871752717 PECOS PAC ID: 9931247137 Enrollment ID: I20130619000635 |
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