NPI | 1154511624 |
---|---|
Entity Type | Organization |
Authorized Contact | PHUONG XUAN MAI President 703-598-5910 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: VA 0101233304) |
Enumeration Date | 2007-07-30 |
Last Update Date | 2007-07-30 |