| NPI | 1326046657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA DICKOFF Bookkeeper 301-565-3305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D0030963) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0042845) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2011-10-03 |