Prince George's County Health Department

NPI #1366057523 in Clinton, Maryland

Provider Information

NPI Number: 1366057523
Entity Type: Organization
Organization Name: Prince George's County Health Department
Primary Specialty: Health Educator
Enumeration Date: Sep 14, 2020
Last Updated: Dec 16, 2025

Practice Location

Address: 9314 PISCATAWAY RD
City: Clinton
State: Maryland
ZIP Code: 20735-3630
Phone: (301) 883-7879

Authorized Official

Name: TAMALA VICKS
Title: CREDENTIALING SPECIALIST
Phone: (301) 883-7822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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