NPI | 1740798412 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTORIA ADARAMAJA Nurse Practitioner 443-449-3003 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QH0100X Clinic/Center, Health Services | |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2018-01-17 |
Last Update Date | 2018-04-27 |