Organization
ETNACARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEVEN A UJEVIC (OWNER)
(703) 430-0681
Entity
Organization
Contact information
Practice address
45800 JONA DR, STERLING, VA 20165-5685
(703) 430-0681
Mailing address
PO BOX 2504, RESTON, VA 20195-0504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101047083
VA
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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