NPI | 1528803863 |
---|---|
Entity Type | Organization |
Authorized Contact | JACOB HA Owner/CEO 410-401-7575 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2024-06-27 |
Last Update Date | 2024-12-31 |