| NPI | 1639355357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LE LUONG President 540-450-2706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0800009496) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-10-24 |