| NPI | 1821533423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE DYER C RN P/Owner 410-489-4927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD R089671) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-10 |