Organization
NOVA TRAINING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOONGIL SHANNEN PARK (PRESIDENT)
(703) 266-2220
Entity
Organization
Contact information
Practice address
4231 MARKHAM ST STE 224, ANNANDALE, VA 22003-3023
(703) 266-2220
Mailing address
4231 MARKHAM ST STE 224, ANNANDALE, VA 22003-3023
(703) 266-2220
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
VA
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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