| NPI | 1548975212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOSEPH TEWELDEBRHAN Primary Care Provider 301-270-0641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2024-02-21 |