NPI | 1831703677 |
---|---|
Entity Type | Organization |
Authorized Contact | DIA LYNAE JOHNSON Nurse Practitioner 443-558-8532 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2020-08-31 |
Last Update Date | 2020-08-31 |