| NPI | 1144497082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALANCIA CHRISTINE WYNN Managing Officer/Owner 703-560-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101054642) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-11-01 |