| NPI | 1609684224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNICIA A EDMOND Nurse Practitioner 240-310-9289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QX0100X Clinic/Center Occupational Medicine |
| Enumeration Date | 2024-12-28 |
| Last Update Date | 2025-04-24 |