| NPI | 1164908711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON COHEN Owner 202-843-5420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: DC CH30028) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363L00000X Nurse Practitioner (Licence: DC RN1036098) | |
| 363L00000X Nurse Practitioner (Licence: DC RN1015652) | |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2024-07-24 |