NPI | 1710717483 |
---|---|
Entity Type | Organization |
Authorized Contact | MARGARET MASON Owner 240-254-2011 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2024-08-06 |
Last Update Date | 2024-08-06 |