| Active Health Llc | |
|
42653 Willow Bend Dr Brambleton VA 20148-6884 | |
| (919) 439-2058 | |
| Not Available |
| Full Name | Active Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 42653 Willow Bend Dr, Brambleton, Virginia |
| Authorized Official Name and Position | Emerencienne Deungwe Yonga (OWNER / AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9194392058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Health Llc 42653 Willow Bend Dr Brambleton VA 20148-6884 Ph: (919) 439-2058 | Active Health Llc 42653 Willow Bend Dr Brambleton VA 20148-6884 Ph: (919) 439-2058 |
| NPI Number | 1215812458 |
|---|---|
| Provider Enumeration Date | 08/07/2025 |
| Last Update Date | 08/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215812458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Fairfax Family Practice Centers Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22895 Brambleton Place, Suite 200, Brambleton, VA 20148 Phone: 703-726-0003 Fax: 703-726-6444 | |
Smart Doctors, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42603 Good Hope Ln, Brambleton, VA 20148 Phone: 646-221-0941 |