| NPI | 1962857318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN PFUNDSTEIN Owner 571-422-9324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101052483) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-08-08 |