Graduated: 2019
NPI: 1740983097
Practice Locations (4)
100 M ST SE, SUITE 600
WASHINGTON, DC 200033648
2600 BRYAN PL SE
WASHINGTON, DC 200204417
4801 CONNECTICUT AVE NW, APT 504
WASHINGTON, DC 200082204
5908 WOLVERTON LN
CLINTON, MD 207351348
Source: CMS National Downloadable File, September 2026.