| NPI | 1285098137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA OMENKA Physician 301-330-4130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0065257) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |