| NPI | 1255645776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILY TALAKOUB Owner 703-356-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 01012445533) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2013-05-17 |