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Organization

ASCEND POLYWELLNESS CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANONG CLEMENT NCHO PA-C (CEO)
(678) 507-4370
Entity
Organization

Contact information

Practice address
7630 LITTLE RIVER TPKE STE 305, ANNANDALE, VA 22003-2610
(678) 507-4370
Mailing address
3721 CAMELOT DR, ANNANDALE, VA 22003-1306
(678) 507-4370

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
01/11/2025
Last updated
04/29/2025
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