| NPI | 1629530704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMOND DICKSON BARTELS Owner/Provider 301-856-0334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |