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Mr. Mitro Darren Roman, STUDENTPTA
Student in an Organized Health Care Education/Training Program in Arlington, Virginia
NPI 1164004776

Mitro Darren Roman is a Student in an Organized Health Care Education/Training Program based in Annandale, VA. Mitro Darren Roman practices in Arlington, VA and has the professional credentials of STUDENTPTA. The NPI Number for Mitro Darren Roman is 1164004776 and holds a License No. (Virginia).

The current practice location address for Mitro Darren Roman is 4040 Fairfax Dr Ste 120, Arlington, VA and can be reached out via phone at 571-359-9730.

Location: 4040 Fairfax Dr Ste 120, Arlington, VA, 22003-4428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164004776
Provider Name
Mitro Darren Roman
Credential
STUDENTPTA
Provider Entity Type
Individual
Gender
Male
Address
4040 Fairfax Dr Ste 120, Arlington, VA, 22003-4428
Phone Number
571-359-9730
Fax Number
Provider Enumeration Date
04/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4040 Fairfax Dr Ste 120
City
Arlington
State
Virginia
Zip
22203-1613
Phone Number
571-359-9730
Fax Number
person
Provider Business Mailing Address Details
Address
4040 Fairfax Dr Ste 120
City
Arlington
State
Virginia
Zip
22203-1613
Phone Number
571-359-9730
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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