| NPI | 1194155663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNY JAMAL MOTRAN Podiatrist/Leading Member 301-699-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 01450) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2013-11-20 |