| NPI | 1659692598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOC HAI LE Physician 703-477-8917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 1047335) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-06-15 |