| NPI | 1780040196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN KULAK Office Manager 703-680-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: VA 0101259313) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |