| NPI | 1518690494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES KAMBIA Office Admin 703-665-9806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2022-07-07 |