Individual
MARIANNE TSUALA MAUFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 NIMMO PKWY, VIRGINIA BEACH, VA 23456-7730
(757) 427-1655
Mailing address
1101 NIMMO PKWY, VIRGINIA BEACH, VA 23456-7730
(757) 427-1655
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202219314
VA
183500000X
Pharmacist
27666
MD
374U00000X
Home Health Aide
—
—
Other
Enumeration date
08/29/2013
Last updated
01/27/2021
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