Individual
CANDICE LASHEY BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17041 JEFFERSON DAVIS HWY, DUMFRIES, VA 22026-2129
(703) 221-7892
Mailing address
17041 JEFFERSON DAVIS HWY, DUMFRIES, VA 22026-2129
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202210031
VA
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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