Graduated: 2019
NPI: 1225754179
Practice Locations (3)
1100 2ND PL SE, APT 906
WASHINGTON, DC 200032566
1151 BLADENSBURG RD NE, SUITE 101
WASHINGTON, DC 200022549
1151 BLADENSBURG RD NE, SUITE 101
WASHINGTON, DC 200028971
Source: CMS National Downloadable File, September 2026.