| NPI | 1174817811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO J MENOCAL Owner 240-215-1138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MD D31912) |
| Enumeration Date | 2011-05-29 |
| Last Update Date | 2011-05-29 |