NPI | 1285902817 |
---|---|
Entity Type | Organization |
Authorized Contact | BARRY E. WILCOX Local Care Coordinator 301-570-4460 |
Organization Subpart ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R193056) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 459165) |
Enumeration Date | 2011-12-10 |
Last Update Date | 2011-12-10 |