Etnacare, Llc | |
45800 Jona Dr Sterling VA 20165-5685 | |
(703) 430-0681 | |
Not Available |
Full Name | Etnacare, Llc |
---|---|
Speciality | Internal Medicine |
Location | 45800 Jona Dr, Sterling, Virginia |
Authorized Official Name and Position | Neven A Ujevic (OWNER) |
Authorized Official Contact | 7034300681 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Etnacare, Llc Po Box 2504 Reston VA 20195-0504 Ph: () - | Etnacare, Llc 45800 Jona Dr Sterling VA 20165-5685 Ph: (703) 430-0681 |
NPI Number | 1235475682 |
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Provider Enumeration Date | 12/12/2012 |
Last Update Date | 12/12/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235475682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101047083 (Virginia) | Primary |
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