NPI | 1366031973 |
---|---|
Entity Type | Organization |
Authorized Contact | LOUIS GBONE Manager 301-966-2558 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2021-01-18 |
Last Update Date | 2023-01-24 |