NPI | 1003051897 |
---|---|
Entity Type | Organization |
Authorized Contact | LEONARD LEE TOUCHETTE President 703-730-5437 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 07L06196) |
Enumeration Date | 2008-12-08 |
Last Update Date | 2008-12-08 |