| NPI | 1619613890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WILLIAM JACOBS Co Founder 703-627-0879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-10-28 |