| NPI | 1710375662 |
|---|---|
| Doing Business As | JIVANA CARE |
| Entity Type | Organization |
| Authorized Contact | GEZZER ORTEGA Medical Director 301-951-3606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2022-09-08 |