Graduated: 2003
NPI: 1285639617
Practice Locations (3)
115 A LA GRANGE AVE, SUITE 101
LA PLATA, MD 206469592
115 LA GRANGE AVE, SUITE 101A
LA PLATA, MD 206469504
3013921935
115 A LAGRANGE AVE, SUITE 101
LAPLATA, MD 206469592
Source: CMS National Downloadable File, September 2026.