| 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 |
| 261QH0100X Clinic/Center, Health Services | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-04-27 |