| NPI | 1629592738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE ANTONETTE FLETCHER Family Nurse Practitioner 410-671-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2022-06-29 |