| NPI | 1669579025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA DENISE RANDOLPH Adult Nurse Practitioner 301-884-7902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: MD r110705) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |