| NPI | 1154661395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABUBAKARI WELLE Proprietor 703-598-6146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101245731) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2017-09-14 |