| NPI | 1669780227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE MARIE VILLARREAL Physician/Director 540-286-3729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101230416) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |