| NPI | 1922161496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL FICK Intern 301-295-2737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |