NPI | 1144454141 |
---|---|
Entity Type | Organization |
Authorized Contact | DORA M MAMODESENE President 202-489-1277 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: DC 14222MD) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0029649MD) |
261QP2300X Clinic/Center, Primary Care (Licence: VA 0101035678) | |
Enumeration Date | 2009-05-06 |
Last Update Date | 2009-05-06 |