| NPI | 1154094548 |
|---|---|
| Doing Business As | MEDICAL & MENTAL HEALTH PROVIDER |
| Entity Type | Organization |
| Authorized Contact | EFEMWONYI F JESUOROBO Owner Of Entity 240-493-7847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2021-07-30 |