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Organization

KING STREET WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAHEL YIRGA MD (OWNER)
(540) 533-7337
Entity
Organization

Contact information

Practice address
4680 KING ST, ALEXANDRIA, VA 22302-1215
(540) 533-7337
Mailing address
4680 KING ST, ALEXANDRIA, VA 22302-1215

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
04/26/2024
Last updated
04/26/2024
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