| NPI | 1154911196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UCHE H FABIKU Nurse Practitioner/CEO 301-633-2515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-01-23 |
| Last Update Date | 2021-02-01 |