| NPI | 1073475158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB NANJO President 301-728-9987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-11-26 |
| Last Update Date | 2025-11-26 |