is a Military Health Care Provider in Dunn Loring, Virginia. practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for is 1629029202. The last update date is .
's current location address is 7884 Train Ct, Dunn Loring, Virginia. You can contact this provider via phone number 9106443217. The mailing address for is 7884 Train Ct, Dunn Loring, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 7884 Train Ct, Dunn Loring, Virginia |
| Phone Number | 9106443217 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1629029202 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 7884 Train Ct |
|---|---|
| City | Dunn Loring |
| State | Virginia (VA) |
| Post Code | 220271172 |
| Phone Number | 9106443217 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Military Health Care Provider |
|---|---|
| Taxonomy | 171000000X |
| Licence No | 38925-21 |
|
Definition: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
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