| NPI | 1538486063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET TEU Certified Nurse Practitioner 804-205-3741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: VA 0024168287) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: VA 0024168287) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2011-05-18 |