| NPI | 1255809273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOWAN DEVENTA MCKOY Owner Of Company 443-742-4906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-11-07 |