| NPI | 1174949358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA DEL CARMEN POURRAT Doctor 301-637-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0062518) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |