Sunny Park, RIC 0704016954

NPI 1942042411 · on the registry since 2024

Practice

Address: 7051 Heathcote Village Way Ste 115
Gainesville, VA 20155
Phone: (571) 918-9239
Organisation at this address: Mle Pastore, Llc
Prince William Dental Llc
Paragon Counseling Services
Prince William Dermatology, P.C.
Phoenix Counselinggroup And Play Therapycenter, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 51

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia