| Etnacare, LLC | |
|
45800 Jona Dr Sterling VA 20165-5685 | |
| (703) 430-0681 | |
| Not Available |
| Full Name | Etnacare, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 45800 Jona Dr, Sterling, Virginia |
| Authorized Official Name and Position | Neven a Ujevic (OWNER) |
| Authorized Official Contact | 7034300681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Etnacare, LLC Po Box 2504 Reston VA 20195-0504 | Etnacare, LLC 45800 Jona Dr Sterling VA 20165-5685 Ph: (703) 430-0681 |
| NPI Number | 1235475682 |
|---|---|
| Provider Enumeration Date | 12/12/2012 |
| Last Update Date | 12/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235475682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101047083 (Virginia) | Primary |
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