Graduated: 2022
NPI: 1780517755
Practice Locations (3)
1151 BLADENSBURG RD NE, SUITE 101
WASHINGTON, DC 200022549
1151 BLADENSBURG RD NE, SUITE 101
WASHINGTON, DC 200028971
3620 11TH ST NW, APT 1
WASHINGTON, DC 200101485
Source: CMS National Downloadable File, September 2026.