| NPI | 1134005689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENIA ISABEL FERRUFINO Family Nurse Practitioner 571-235-0196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-09-06 |