NPI 1184002263

Sanctus

Organisation Specialist Woodbridge, VA

Practice location

Address: 1372 Old Bridge Rd # 102, Woodbridge, VA 22192-2708
Phone: (703) 966-5526
Fax: (703) 680-9322

Authorised official

Name: Carol Syvret Austin
Title: Owner
Phone: (703) 966-5526

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 0019002389 (VA)

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Registry record

NPI: 1184002263
Entity type: Organization
NPI issued: 11 May 2015
Record last updated: 11 May 2015

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.