NPI | 1174790901 |
---|---|
Entity Type | Organization |
Authorized Contact | STACY O ROSS President 301-899-0007 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D36924) |
Enumeration Date | 2008-05-12 |
Last Update Date | 2008-05-12 |