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Organization

VIRGINIA INTEGRATIVE MEDICAL LLC

Active
Other names
Virginia Integrative Medical LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ABEL COSTAS BORROMEO V DC (MANAGING MEMBER)
(540) 550-3656
Entity
Organization

Contact information

Practice address
125 PROSPERITY DR, SUITE 500, WINCHESTER, VA 22602-5385
(540) 550-3656
(540) 868-0166
Mailing address
125 PROSPERITY DR, SUITE 500, WINCHESTER, VA 22602-5385
(540) 550-3656
(540) 868-0166

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
0104556472
VA

Other

Enumeration date
01/19/2016
Last updated
01/19/2016
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