| 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 |