NPI | 1174953905 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTORIA TITUS President /Owner 240-438-7923 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD R184425) |
Enumeration Date | 2013-11-14 |
Last Update Date | 2013-11-14 |