Graduated: 2022
NPI: 1497472484
Practice Locations (3)
ENNOBLE HC DMV LLC
WASHINGTON, DC 20002
8628129010
ENNOBLE HC DMV LLC
20130 LAKEVIEW CTR PLZ, SUITE 400
ASHBURN, VA 201475905
8628129010
LEGACY HEALTHCARE SERVICES INC
9642 BURKE LAKE RD
BURKE, VA 220153052
7035437920
Source: CMS National Downloadable File, September 2026.