| NPI | 1942514435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR FERNANDO SUGASTTI Owner 703-635-0314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: VA 0101239590) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2024-06-19 |