Organization
PROLIFIC VENTURES LLC
Active
Other names
GOOD HEALTH MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THI D. HOANG MD (PARTNER)
(703) 362-7574
Entity
Organization
Contact information
Practice address
6426 CROSSROADS DR, FALLS CHURCH, VA 22044
(888) 936-0808
(877) 337-3766
Mailing address
P.O. BOX 5055, FALLS CHURCH, VA 22044-9055
(888) 936-0808
(877) 337-3766
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J4210
TX
Other
Enumeration date
10/13/2008
Last updated
07/09/2012
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