| NPI | 1033590724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER MAGBOO BRUCAL Nurse Practitioner 240-481-3356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN1004515) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |