| NPI | 1477289817 |
|---|---|
| Doing Business As | JEFFERSON STREET CLINIC |
| Entity Type | Organization |
| Authorized Contact | BERYL WAYI YUFENYUY Nurse Practitioner 240-481-7672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-12-28 |