| NPI | 1164066551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANA ABIGAIL BADU Nurse Practitioner 301-318-8482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |