| New Flower Llc | |
|
8439 Lake Mist Way Fairfax Station VA 22039-2676 | |
| (703) 200-5422 | |
| Not Available |
| Full Name | New Flower Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8439 Lake Mist Way, Fairfax Station, Virginia |
| Authorized Official Name and Position | Melaku Ayalew (OWNER) |
| Authorized Official Contact | 7032005422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Flower Llc 8439 Lake Mist Way Fairfax Station VA 22039-2676 Ph: () - | New Flower Llc 8439 Lake Mist Way Fairfax Station VA 22039-2676 Ph: (703) 200-5422 |
| NPI Number | 1790036226 |
|---|---|
| Provider Enumeration Date | 09/24/2012 |
| Last Update Date | 09/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790036226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101055711 (Virginia) | Primary |
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