PENDERBROOK INTERNAL MEDICINE AND WELLNESS, PLLC

FAIRFAX, VA
NPI1972832608
Entity TypeOrganization
Authorized ContactTHIEN QUANG DAT LE
Owner
703-716-5404
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: VA  0101840408)
Enumeration Date2009-12-08
Last Update Date2011-09-29
Business Address
PENDERBROOK INTERNAL MEDICINE AND WELLNESS, PLLC
4001 FAIR RIDGE DR SUITE 206
FAIRFAX, VA 22033-2917
Phone number: 703-716-5404
Mailing Address
PENDERBROOK INTERNAL MEDICINE AND WELLNESS, PLLC
4001 FAIR RIDGE DR SUITE 206
FAIRFAX, VA 22033-2917
Phone number: 703-716-5404
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