| NPI | 1255964649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAINAB TITY BUNDU Nurse Practitioner 240-584-1048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-11-18 |