| NPI | 1528941812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY KEBWARO Family Nurse Practitioner 443-500-0431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2025-07-26 |
| Last Update Date | 2025-07-26 |