Nhc Quantico Virginia

NPI 1063658409 - Clinic/Center - 261QH0100X

NPI Details
NPI 1063658409
Enumeration Date 01/06/2009
Last Updated 01/06/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JAKE GREFALDON JAKE
Position INDEPENDENT DUTY CORPSMAN
Phone (703) 784-2062
Fax
Practice Location
3259 CATLIN AVE
QUANTICO VA, 22134-5109, US
Phone (703) 784-2062
Fax
Business Location
3259 CATLIN AVE
QUANTICO VA, 22134-5109, US
Phone (703) 784-2062
Fax
Toxanomy
Taxonomy Code 261QH0100X
License State
License Number
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According to our database, Nhc Quantico Virginia NPI is 1063658409, taxonomy code is 261QH0100X Nhc Quantico Virginia physically located at 3259 Catlin Ave, Quantico VA, 22134-5109. NPI Number 1033115704 has the healthcare provider type.

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1063658409 NPI number is provided on an as is basis without warranty of any kind. 1063658409 is maintained by the National Plan & Provider Enumeration System. The contents of Nhc Quantico Virginia are for informational purposes only.