NPI | 1104289297 |
---|---|
Entity Type | Organization |
Authorized Contact | DARRYL ANTOINE HOOKER Physician Assistant Certified 240-766-4552 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2016-04-05 |
Last Update Date | 2020-03-10 |