| NPI | 1700129194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA SUSANA ABAD CEO 703-459-4773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0024167755) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2023-03-07 |