| Input Field | Entered |
|---|---|
| SERIAL NUMBER | 85938354 |
| MARK SECTION | |
| MARK | NOVA PHYSICIAN WELLNESS CENTER (stylized and/or with design, see https://tmng-al.uspto.gov/resting2/api/img/85938354/large) |
| NEW CORRESPONDENCE ADDRESS | |
| NAME | NOVA PHYSICIAN WELLNESS CENTER, PLLC |
| STREET | 3903 Fair Ridge Dr., Suite 209 |
| CITY | Fairfax |
| STATE | Virginia |
| COUNTRY | United States |
| POSTAL/ZIP CODE | 22033 |
| PHONE | 703-865-6490 |
| FAX | 703-865-6492 |
| rsuri@priviamedicalgroup.com; ashley.poulos@priviamedicalgroup.com | |
| INDIVIDUAL ATTORNEY DOCKET/REFERENCE NUMBER | |
| SIGNATURE SECTION | |
| SIGNATURE | /rohit suri/ |
| SIGNATORY NAME | Rohit Suri |
| SIGNATORY DATE | 01/27/2020 |
| SIGNATORY POSITION | Owner |
| SIGNATORY PHONE NUMBER | 7275999548 |
| FILING INFORMATION SECTION | |
| SUBMIT DATE | Mon Jan 27 13:07:50 EST 2020 |
| TEAS STAMP | USPTO/SECT08-XXX.XX.XXX.X XX-20200127130750856319-4 661190-70044defa631e1358e 45b5bee2b31fbca8f3570fb2d aecd401d4186abc38544e5-CC -07487640-202001271254165 73776 |