TENNESSEE PARK

CHARLOTTESVILLE, VA
NPI1619504388
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-24
Last Update Date2020-03-24
Business Address
TENNESSEE PARK MD
1215 LEE ST MAIL STOP 800699
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-924-8485
Mailing Address
TENNESSEE PARK MD
1215 LEE ST MAIL STOP 800699
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-924-8485
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