| NPI | 1497428882 |
|---|---|
| Doing Business As | MEDICAL & MENTAL HEALTH PROVIDER |
| Entity Type | Organization |
| Authorized Contact | EFEMWONYI F JESUOROBO Owner Of The Entity 240-493-7847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2021-07-30 |