| NPI | 1467090639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEDRICK MICHELLE DANIELS President 202-276-9478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2023-12-11 |