| NPI | 1639763832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALAIKA CHAMBERS Owner 240-413-0434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-02-28 |
| Last Update Date | 2021-03-01 |