| NPI | 1972172922 |
|---|---|
| Doing Business As | CHOICE SUPPORTIVE CARE TEAM |
| Entity Type | Organization |
| Authorized Contact | LINDA DEMANOU Np 240-701-6437 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2021-06-23 |