| NPI | 1699841148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAZUKO KUKITA PRICE President 703-751-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0101015073) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-08-22 |