| NPI | 1659709277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATRICIA A WOODAL Hr Manager 301-678-5187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R200178) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |