Graduated: 2025
NPI: 1588520381
Practice Locations (3)
1722 28TH ST SE, APT 301
WASHINGTON, DC 200206477
1722 28TH ST SE APT, SUITE 301
WASHINGTON, DC 200206477
12225 28TH ST N, SUITE A
ST PETERSBURG, FL 337161860
Source: CMS National Downloadable File, September 2026.