| NPI | 1093543282 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | HAIMANOT TESFAYE Owner 703-599-8950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |