| NPI | 1477728897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL DESTA President 703-288-4669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0006X Clinic/Center, Ambulatory Fertility Facility (Licence: DC md30939) |
| Enumeration Date | 2008-04-26 |
| Last Update Date | 2008-04-26 |