NPI | 1104255744 |
---|---|
Other Name | WOUND TEAM OF GREATER WASHINGTON |
Entity Type | Organization |
Authorized Contact | JOSEPH E KISANGA Chairman 301-717-2972 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1011679) |
Enumeration Date | 2013-11-04 |
Last Update Date | 2013-12-16 |