ILLUMINATED DIRECTION

SPRINGFIELD, VA
NPI1780102335
Entity TypeOrganization
Authorized ContactJONATHAN LACEWELL
Owner
919-452-7931
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2017-09-05
Last Update Date2017-09-05
Business Address
ILLUMINATED DIRECTION
6116 ROLLING ROAD SUITE 104
SPRINGFIELD, VA 22152
Phone number: 571-730-8445
Mailing Address
ILLUMINATED DIRECTION
6116 ROLLING ROAD SUITE 104
SPRINGFIELD, VA 22152
Phone number: 571-730-8445
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