| NPI | 1578734547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOLISA TANDOC CORNEL- MANALOTO President 703-499-9655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101232671) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |