| NPI | 1245527258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUEEN MBANUZUE Owner 301-430-0337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2022-09-20 |