| NPI | 1922425669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNINE E. GEORGE-RICHARDSON Podiatrist 410-869-4147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: DC PO1000047) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 01417) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2016-08-02 |