| NPI | 1861173767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYRIAC NCHANG C0 President 240-645-3624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-10-31 |