| NPI | 1013515881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOLAKE ALOBA Director/Owner 301-363-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |