| NPI | 1063826907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERON RAMPHAL President / Owner 301-801-0292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0054991) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |