NPI 1770017030

Primary Family Care LLC

Organisation Prevention Professional Front Royal, VA

Practice location

Address: 327 N Royal Ave, Front Royal, VA 22630-2617
Phone: (571) 322-1372
Fax: (540) 727-8880
Mailing address: 12805 Cara Dr, Woodbridge, VA 22192-2732

Authorised official

Name: Alita Gilliom
Title: Owner
Phone: (571) 322-1372

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X

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Registry record

NPI: 1770017030
Entity type: Organization
NPI issued: 13 Apr 2017
Record last updated: 13 Apr 2017

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.