Individual
CARLA SARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6244 OLD DOMINION DR, MC LEAN, VA 22101-4217
(703) 533-7315
Mailing address
6244 OLD DOMINION DR, MC LEAN, VA 22101-4217
(703) 533-7315
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206668
VA
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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