| NPI | 1255942231 |
|---|---|
| Doing Business As | KHADEJA FAMILY PRACTICE, LLC |
| Former Legal Business Name | KHADEJA FAMILY PRACTICE, LLC |
| Entity Type | Organization |
| Authorized Contact | KHADEJA BAIDOO Np/ Manager 571-275-6765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2024-04-04 |