| NPI | 1417556077 |
|---|---|
| Doing Business As | MARCIE'S CHOICE LANE |
| Entity Type | Organization |
| Authorized Contact | SARAH BOLEK Contracts Management 240-401-3062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |