| NPI | 1407576283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER STEPHANIE JIMENEZ Doctor/Owner 703-942-9845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2023-11-09 |