Organization
VIRGINIA INTEGRATIVE MEDICAL LLC
Active
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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