| NPI | 1811751316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIAO FENG Director 301-655-8218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2025-07-10 |