Individual provider · Type 1 NPI

Mitro Darren Roman, STUDENT PTA

Student in an Organized Health Care Education/Training Program · Arlington, VA

NPI number 1164004776 Active

Practice location

4040 Fairfax Dr Ste 120
Arlington, VA 22203-1613

Call (571) 359-9730 Map

Mailing address

4704 Federal Ct
Annandale, VA 22003-4428

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1164004776

Mitro Darren Roman, STUDENT PTA's National Provider Identifier is 1164004776, issued on Apr 22, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Arlington, VA. The record was last updated on Apr 22, 2021.