| NPI | 1164574950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERLA JAMIAS SOLORIA Physician 757-966-9873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA 0101035962 & 0101046) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |