| NPI | 1912218017 |
|---|---|
| Doing Business As | THE PRACTICE, SET FEE CLINIC |
| Entity Type | Organization |
| Authorized Contact | AMEANTHEA BLANCO Executive Director 757-777-7267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA 0024166866) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |