| NPI | 1619843281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE QUIJANO Owner/Provider 571-208-2811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |