| NPI | 1912620121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH T PEYECHU Owner 240-463-0848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2022-11-15 |