Graduated: 2023
NPI: 1003172776
Practice Locations (3)
650 PENNSYLVANIA AVE SE, SUITE 330
WASHINGTON, DC 200034397
650 PENNSYLVANIA AVE SE, SUITE 330 340
WASHINGTON, DC 200034318
9107 GLENARDEN PKWY
GLENARDEN, MD 207062672
Source: CMS National Downloadable File, September 2026.