NPI | 1972792703 |
---|---|
Doing Business As | FAIR LAKES URGENT CARE CENTER |
Entity Type | Organization |
Authorized Contact | CHARLES OKORIE President 703-222-3555 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2007-10-17 |
Last Update Date | 2007-10-17 |