| NPI | 1235640707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BAKER Owner 202-798-3901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2019-05-07 |