| NPI | 1588401145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETRAND EKENJA CEO 301-683-8313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-12 |