NPI | 1720606676 |
---|---|
Entity Type | Organization |
Authorized Contact | BONNIE HAVEN VELEZ Family Nurse Practitioner 410-924-7879 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
Enumeration Date | 2020-07-08 |
Last Update Date | 2020-07-08 |