| NPI | 1902067655 |
|---|---|
| Doing Business As | PRIME HEALTH |
| Entity Type | Organization |
| Authorized Contact | HAN TONTHAT Officer 703-840-0610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2021-09-17 |