| NPI | 1336866763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNOCENT MONYA-TAMBI Attending Physician 443-370-5348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2022-10-26 |