| NPI | 1871094821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISA DANIELLE CHRISTENSEN Owner/Physician 434-825-9240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2024-12-12 |