| NPI | 1962448308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ARNETTA RICH Owner 703-791-3288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0101052792) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2014-08-19 |