Organization
KRYSTAL MEDICAL ASSOCIATES
Active
Parent organization
KRYSTAL MEDICAL ASSOCIATES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KRYSTAL MEDICAL ASSOCIATES LLC
Authorized official
DR. NWAEHIHIE HARRISON ONYEAGHALA MD (CEO)
(703) 209-0363
Entity
Organization
Contact information
Practice address
3602 BALIN CT, ANNANDALE, VA 22003-1301
(703) 209-0363
Mailing address
3602 BALIN CT, ANNANDALE, VA 22003-1301
(703) 209-0363
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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