NPI 1083866867

Prolific Ventures LLC

Organisation Specialist Falls Church, VA

Practice location

Address: 6426 Crossroads Dr, Falls Church, VA 22044
Phone: (888) 936-0808
Fax: (877) 337-3766
Mailing address: P.O. Box 5055, Falls Church, VA 22044-9055

Authorised official

Name: Thi D. Hoang
Title: Partner
Phone: (703) 362-7574

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence J4210 (TX)

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Registry record

NPI: 1083866867
Entity type: Organization
NPI issued: 13 Oct 2008
Record last updated: 9 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.