NPI | 1336511971 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH MARY WEAVER Owner 703-466-5150 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101232754) |
Enumeration Date | 2015-10-22 |
Last Update Date | 2015-10-22 |