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 |