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NPI Code Detail

MEDICARE: FIRST-CARE WELLNESS & MEDICAL SERVICES

MEDICARE: FIRST-CARE WELLNESS & MEDICAL SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0100XHealth Service Clinic/Center
2261QP2300XPrimary Care Clinic/Center
3363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1689221376
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIRST-CARE WELLNESS & MEDICAL SERVICES
Provider Business Mailing Address
First Line : 3739 CASTLE TER
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-4703
Country : US
Telephone Number : 301-803-9617
Fax Number :
Provider Business Practice Location Address
First Line : 7836 OAKWOOD RD
Second Line :
City : GLEN BURNIE
State : MD
Zip : 21061-4298
Country : US
Telephone Number : 301-232-2686
Fax Number :
Authorized Official
Title or Position : CEO/OWNER
Name : MS. KORLU WOLOBAH-KUYON
Credential :
Telephone Number : 301-803-9617
Provider Enumeration Date : 08/19/2019
Last Update Date : 04/29/2021

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Directions to “FIRST-CARE WELLNESS & MEDICAL SERVICES ” Practice Location

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