Active Health LLC
NPI #1215812458 in Brambleton, Virginia
Provider Information
- NPI Number
- 1215812458
- Entity Type
- Organization
- Organization Name
- Active Health LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 7, 2025
- Last Updated
- Aug 7, 2025
Practice Location
- Address
- 42653 WILLOW BEND DR
- City
- Brambleton
- State
- Virginia
- ZIP Code
- 20148-6884
- Phone
- (919) 439-2058
Authorized Official
- Name
- DR. EMERENCIENNE DEUNGWE YONGA, MD
- Title
- OWNER / AUTHORIZED OFFICIAL
- Phone
- (919) 439-2058
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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