| NPI | 1649014895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CHEN Resident 240-439-1252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-06-22 |
| Last Update Date | 2024-06-22 |