| NPI | 1821740549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA RENEE MC MULLEN Primary Midwife 240-229-4662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-01-24 |