| NPI | 1982842753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERMAN VALBUENA Director 703-533-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: VA 0841498) |
| Enumeration Date | 2009-02-01 |
| Last Update Date | 2015-06-08 |