| NPI | 1265595482 |
|---|---|
| Other Name | MEDDAC |
| Entity Type | Organization |
| Authorized Contact | KYUNG OK PARK Clinical Nurse 703-805-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: VA 0001109410) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |