NPI | 1164094371 |
---|---|
Entity Type | Organization |
Authorized Contact | BISRAT MESFIN CEO 443-708-5612 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2021-07-15 |
Last Update Date | 2021-07-15 |