NPI | 1902594179 |
---|---|
Doing Business As | ADVANCED WELLNESS CLINIC |
Entity Type | Organization |
Authorized Contact | BANIS GITHINJI Dnp 240-930-7466 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2023-04-26 |
Last Update Date | 2025-08-11 |