NPI | 1417192261 |
---|---|
Entity Type | Organization |
Authorized Contact | ERNEST QUAYE Pediatrician 703-230-7201 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101043188) |
Enumeration Date | 2008-12-09 |
Last Update Date | 2008-12-09 |