| NPI | 1619301439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARYN R RICHARDSON Owner/Physician 240-206-9601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D0068780) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-10-15 |