| NPI | 1245676733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN MK NELSON Owner/President 240-362-7265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0065518) |
| Enumeration Date | 2013-05-11 |
| Last Update Date | 2013-08-08 |