| NPI | 1871088641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY FOWAAH BOATENG Family Nurse Practitioner 301-679-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MD R214992) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2023-09-12 |