| NPI | 1386478782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IJEOMAH AHAGHOTU Owner 301-235-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| 363LF0000X Nurse Practitioner, Family | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2025-12-09 |