NPI | 1003345893 |
---|---|
Entity Type | Organization |
Authorized Contact | MOLLY FOOTE CARR Sole Proprieter 301-284-0599 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: MD R112938) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R112938) |
Enumeration Date | 2017-06-06 |
Last Update Date | 2023-08-28 |