| NPI | 1164250338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE D VILLAGRA President 240-669-6330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |