| NPI | 1811408057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN N. ZAMA President 240-513-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2020-12-01 |