| NPI | 1104120351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARDO MENDEZ President 703-522-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 0101052239) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |