Organization · Type 2 NPI
Justin's Black Tea and Bread, A Tea Room LLC
Health Service Clinic/Center · Stafford, VA
NPI number
1255684858
Active
Practice location
1001 Providence St, Ste 203
Stafford, VA 22554-8300
Fax (540) 657-9732
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
About NPI 1255684858
Justin's Black Tea and Bread, A Tea Room LLC's National Provider Identifier is 1255684858, issued on Oct 19, 2012. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Stafford, VA. The record was last updated on Oct 19, 2012.