| NPI | 1477187748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAREL WEIR Office Manager 301-204-9541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZA2600X Specialist/Technologist, Other, Art, Medical |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |