| NPI | 1326578782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED MAADAKIN KOROMA Administrator 301-740-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-06-18 |