| 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 |