Organization · Type 2 NPI

Commonwealth of Virginia State Board of Health

Public Health or Welfare Agency · Leesburg, VA

NPI number 1154428605 Active

Practice location

102 Heritage Way NE, 1st Floor Suite #100
Leesburg, VA 20176

Call (703) 777-0236 Map

Fax (703) 771-5393

Mailing address

1 Harrison St SE
Leesburg, VA 20175

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency Primary 251K00000XNone listed

Public Health or Welfare Agency: Definition to come...

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About NPI 1154428605

Commonwealth of Virginia State Board of Health's National Provider Identifier is 1154428605, issued on Sep 19, 2006. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Leesburg, VA. The record was last updated on Jul 21, 2011.