| NPI | 1285043257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY NGUYEN President 703-380-9434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA a115544) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2014-08-04 |