| NPI | 1932712254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOLAKE ALOBA Director 301-363-0709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |