Organization
PHOENIX LLAJTA LLC
Active
Other names
Washington Nova Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE RAMALLO (ADMINISTRATOR)
(703) 269-8034
Entity
Organization
Contact information
Practice address
8303 ARLINGTON BLVD STE 207, FAIRFAX, VA 22031-2903
(703) 712-2188
Mailing address
8303 ARLINGTON BLVD STE 207, FAIRFAX, VA 22031-2903
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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