New Flower Llc

NPI 1063740199 - Clinic/Center - 261QP2300X

NPI Details
NPI 1063740199
Enumeration Date 12/01/2009
Last Updated 12/01/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MELAKU MELAKU
Position CEO
Phone (703) 370-2300
Fax
Practice Location
50 SOUTH PICKETT ST
ALEXANDRIA VA, 22304, US
Phone (703) 370-2300
Fax
Business Location
8439 LAKE MIST WAY
FAIRFAX STATION VA, 22039-2676, US
Phone (703) 646-5500
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State Virginia
License Number 0101055711
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According to our database, New Flower Llc NPI is 1063740199, taxonomy code is 261QP2300X and license number is 0101055711, license state is located at Virginia. New Flower Llc physically located at 50 South Pickett St, Alexandria VA, 22304. NPI Number 1033115704 has the healthcare provider type.

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1063740199 NPI number is provided on an as is basis without warranty of any kind. 1063740199 is maintained by the National Plan & Provider Enumeration System. The contents of New Flower Llc are for informational purposes only.