| NPI | 1295495331 |
|---|---|
| Other Name | VIRGINIA FUNCTIONAL MEDICINE INC |
| Entity Type | Organization |
| Authorized Contact | YVOUNE PETRIE Director 703-462-4348 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine |
| 2083X0100X Preventive Medicine Occupational Medicine | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2024-01-18 |