| NPI | 1669178018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANNE SHEPARD Owner/Physician Assistant 240-587-7275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-04-06 |