| NPI | 1962277152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDYS OBEN EYONG Owner 301-532-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2024-07-08 |