| NPI | 1417617465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERMAN VALBUENA MONTSERRAT General Manager 571-212-7087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2021-12-17 |