| NPI | 1568244010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE BELEHO WOUEKO Medical Director 240-715-8604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2024-05-08 |