| NPI | 1174829782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA E MENDOZA Office Manager 703-626-7501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101239873) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2012-09-28 |