| NPI | 1104190313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANETTE ALEXANDER Owner 301-251-1184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MD D34637) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |