| NPI | 1942333919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALADEE RENEE DELAHOUSSAYE Owner 757-872-9808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101050047) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |