| NPI | 1174021752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE OBCEMEA ASINERO Practice Manager 571-290-3614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2024-11-06 |