Individual
MAI XUAN DAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4215 CHESHIRE STATION PLZ, DALE CITY, VA 22193
(703) 590-8021
(703) 590-6702
Mailing address
4215 CHESHIRE STATION PLZ, WOODBRIDGE, VA 22193-2217
(703) 590-8021
(703) 590-6702
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202012070
VA
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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