Individual
BERTHE TATSIADA NOUBIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
12601 SMOKETOWN RD, WOODBRIDGE, VA 22192-3379
(703) 670-7030
Mailing address
3389 BRISTOL CT, WOODBRIDGE, VA 22193-1339
(240) 644-2703
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43809
SC
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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