| NPI | 1629679543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARINI C FERDINANDO Authorized Officia / Office Manager 703-378-1734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2021-11-03 |