| NPI | 1386038644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA SABAEVA Owner 443-824-2846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD DOO69765) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2017-06-19 |