Graduated: 2022
NPI: 1528621166
Practice Locations (3)
2450 RYE ST, APT 843
BALTIMORE, MD 212305097
10105 BALTIMORE AVE, APT 3401
COLLEGE PARK, MD 207404214
10105 BALTIMORE AVE, APT 3401
COLLEGE PARK, MD 207404231
Source: CMS National Downloadable File, September 2026.