| NPI | 1932376100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA JOCELYN ADRIENNE HEATH Director 301-300-8461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H0061034) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-08-19 |