| NPI | 1033625983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN TSOGBE President/Owner 301-908-9136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WI 4763) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |