| NPI | 1871936294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAUGHAN DABBS Owner 410-599-6846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MD d0051586) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 364SA2200X Clinical Nurse Specialist, Adult Health | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-08-27 |