Penelope Donovan, Llc | |
4582 Southland Ave Alexandria VA 22312-1620 | |
(157) 140-6707 | |
Not Available |
Full Name | Penelope Donovan, Llc |
---|---|
Speciality | Counselor - Professional |
Location | 4582 Southland Ave, Alexandria, Virginia |
Authorized Official Name and Position | Penelope Donovan (PRACTICE OWNER) |
Authorized Official Contact | 5714067079 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Penelope Donovan, Llc 4582 Southland Ave Alexandria VA 22312-1620 Ph: (571) 406-7079 | Penelope Donovan, Llc 4582 Southland Ave Alexandria VA 22312-1620 Ph: (157) 140-6707 |
NPI Number | 1417605072 |
---|---|
Provider Enumeration Date | 03/14/2022 |
Last Update Date | 03/14/2022 |
Certification Date | 03/14/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417605072 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
News Archive
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