| NPI | 1366427643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTELL L. ALLISON Licensed Practical Nurse 703-805-0169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: VA 0002063555) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2020-08-22 |