| NPI | 1841156494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENIE EFUETNGU LEKE TAZISONG Pmhnp Pmh 240-765-5159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-12-29 |
| Last Update Date | 2025-12-29 |