| NPI | 1356951198 |
|---|---|
| Doing Business As | VASTCARE MEDICAL CLINIC, LLC |
| Entity Type | Organization |
| Authorized Contact | STELLA OBIANUJU AKPUAKA Np Provider 301-708-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |