| NPI | 1154788818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NKIRUKA ARENE Owner 443-977-9180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D63924) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2019-07-12 |