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Organization

FAIRFAX CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VIET HUU NGUYEN D.O. (PRESIDENT)
(301) 613-8124
Entity
Organization

Contact information

Practice address
6408 SEVEN CORNERS PL STE C, FALLS CHURCH, VA 22044-2011
(703) 532-1909
(703) 532-5868
Mailing address
6408 SEVEN CORNERS PL STE C, FALLS CHURCH, VA 22044-2011
(703) 532-1909
(703) 532-5868

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0102204088
VA

Other

Enumeration date
10/15/2015
Last updated
10/15/2015
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