| NPI | 1093310450 |
|---|---|
| Doing Business As | WEEKEND WHITECOAT |
| Entity Type | Organization |
| Authorized Contact | THEO JOSHUA JONES Owner 410-999-1742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2020-12-03 |