| NPI | 1871055616 |
|---|---|
| Doing Business As | SELF |
| Entity Type | Organization |
| Authorized Contact | AUGUSTINA O OPEEWE-OJO Advanced Nurse Practitioner 443-271-3013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |