| NPI | 1164030102 |
|---|---|
| Doing Business As | HIS FAITHFULNESS FAMILY CLINIC INC |
| Entity Type | Organization |
| Authorized Contact | OLIVIA MBAH Administrator 301-257-2314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2022-06-29 |