| NPI | 1225281678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA CHIANTELLA Owner 703-737-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: VA 0101043229) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |