NPI | 1255850681 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA LEE ZELLER Owner 301-304-9390 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MD R108292) |
Enumeration Date | 2017-09-18 |
Last Update Date | 2023-05-02 |