NPI | 1518749720 |
---|---|
Doing Business As | ADVANCE HEALTHCARE OF FREDERICKSBURG |
Entity Type | Organization |
Authorized Contact | LAURA MARIE SULLIVAN-SIMENSON Owner/Provider 703-867-3647 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2023-10-23 |
Last Update Date | 2023-10-23 |