| NPI | 1164743159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ANDREA JENNINGS-ROJAS Owner 410-340-0189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MD MD-U1056) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2010-06-14 |