| NPI | 1730583428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITNI DANIELLE DAUGHTRIDGE Physician Assistant 240-520-4018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 018038) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |