Organization
BELITE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WOLFE MAYER NP (NURSE PRACTITIONER)
(202) 557-8138
Entity
Organization
Contact information
Practice address
3923 OLD LEE HWY, 61 A, FAIRFAX, VA 22030-2428
(703) 359-9202
Mailing address
3923 OLD LEE HWY, ARLINGTON, VA 22030
(703) 359-9202
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
0017136984
VA
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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