Individual
REBECCA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13301 GATEWAY CENTER DR, GAINESVILLE, VA 20155-2984
(571) 261-5061
Mailing address
8202 PEGGYS CT, GAINESVILLE, VA 20155-2923
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0230024252
VA
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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