Individual
MICHELLE N/A KWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3526 KING ST, ALEXANDRIA, VA 22302-1907
(571) 312-1506
Mailing address
3526 KING ST, ALEXANDRIA, VA 22302-1907
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202205440
VA
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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