| NPI | 1740691948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIPUL MANGAL Owner 703-698-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: VA 0101251504) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |