NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1225274061 |   |   |   | PRIMARY HEALTH & WELLNESS CENTER LLC | 9055 CHEVROLET DR | ELLICOTT CITY | MD | 210424016 |
1073960852 | ASIKE | CHINELO |   |   | 9055 CHEVROLET DR | ELLICOTT CITY | MD | 210424016 |
1447805098 | LACSON | MARIA LOIDA | DELACRUZ |   | 10930 SWANSFIELD RD | COLUMBIA | MD | 210442728 |