| Nova Training Center | |
|
4231 Markham St Ste 224 Annandale VA 22003-3023 | |
| (703) 266-2220 | |
| Not Available |
| Full Name | Nova Training Center |
|---|---|
| Speciality | Clinic/center |
| Location | 4231 Markham St Ste 224, Annandale, Virginia |
| Authorized Official Name and Position | Soongil Shannen Park (PRESIDENT) |
| Authorized Official Contact | 7032662220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Training Center 4231 Markham St Ste 224 Annandale VA 22003-3023 Ph: (703) 266-2220 | Nova Training Center 4231 Markham St Ste 224 Annandale VA 22003-3023 Ph: (703) 266-2220 |
| NPI Number | 1144711615 |
|---|---|
| Provider Enumeration Date | 05/21/2018 |
| Last Update Date | 05/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144711615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Virginia) | Primary |
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