| |
6355 Walker Lane, Ste 204, Alexandria, VA 22310-3257 | |
(703) 921-2167 | |
(703) 810-5494 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Multi-specialty |
Location | 6355 Walker Lane, Alexandria, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609894450 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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Po Box 715868, Philadelphia, PA 19171-5868 Ph: (804) 915-1910 | 6355 Walker Lane, Ste 204, Alexandria, VA 22310-3257 Ph: (703) 921-2167 |