| NPI | 1508245069 |
|---|---|
| Former Legal Business Name | POTOMAC HEALTH AND WELLNESS, LLC |
| Entity Type | Organization |
| Authorized Contact | AMJAD MALIK VP 703-740-4577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101226851) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2023-04-12 |