| NPI | 1689076747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAI HOANG NGUYEN Physician/Owner 703-281-3626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA 0101244058) |
| Enumeration Date | 2014-09-20 |
| Last Update Date | 2014-09-20 |