| NPI | 1134480726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK PHAM President 703-533-7673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101244284) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |