Organization
SL HOLISTIC SERVICES LLC
Active
Other names
Medici NOVA Wellness Care
Organization subpart
No
Provider details
NPI number
Authorized official
YEIMI MARCELA LAPHAM (ADMINISTRATOR)
(703) 989-6849
Entity
Organization
Contact information
Practice address
4216 EVERGREEN LN STE 121, ANNANDALE, VA 22003-3256
(703) 939-1722
Mailing address
PO BOX 2371, FAIRFAX, VA 22031-0371
(703) 989-6849
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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