NPI | 1861916843 |
---|---|
Entity Type | Organization |
Authorized Contact | JOYCE S EDWARDS Owner 301-772-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
225700000X Massage Therapist | |
363L00000X Nurse Practitioner | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2017-08-01 |
Last Update Date | 2022-07-21 |