NPI | 1649511973 |
---|---|
Doing Business As | GUARDIAN COMMUNITY HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | ABIOLA OLAKITAN OBATUASE Owner 443-722-0954 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 251E00000X Home Health (Licence: MD R3420) |
Enumeration Date | 2013-03-12 |
Last Update Date | 2021-01-11 |