| NPI | 1184816118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMIGDIO A. LOPEZ President 703-451-3245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 0101-031554) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |