| NPI | 1255916144 |
|---|---|
| Doing Business As | ABS MEMORIAL |
| Entity Type | Organization |
| Authorized Contact | KHUDSIATU TUCKER Np 240-486-7097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-05-04 |