| NPI | 1245858240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLMAN O EJERENWA CEO 301-536-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |