Organization · Type 2 NPI
Prolific Ventures LLC
Specialist · Falls Church, VA
NPI number
1083866867
Active
Practice location
6426 Crossroads Dr
Falls Church, VA 22044
Fax (877) 337-3766
Mailing address
P.o. Box 5055
Falls Church, VA 22044-9055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | J4210 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1083866867
Prolific Ventures LLC's National Provider Identifier is 1083866867, issued on Oct 13, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Falls Church, VA. The record was last updated on Jul 9, 2012.