| NPI | 1093984163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIENYENWA EKE NWACHINEMERE Provider 410-686-3931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0063176) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2021-11-11 |