NPI | 1356516470 |
---|---|
Entity Type | Organization |
Authorized Contact | MARLENE G. DESAMITO Owner 240-463-1547 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0053700) |
Enumeration Date | 2008-04-29 |
Last Update Date | 2008-04-29 |