| NPI | 1750963542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSINTA A NGUNKENG President 301-377-4732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2022-05-24 |