Individual
CONSOLLAR LEEDS AZENUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 SHINING WILLOW WAY, LA PLATA, MD 20646-4224
(301) 934-5910
Mailing address
2709 ZEEK LN, LANHAM, MD 20706-1400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24001
MD
Other
Enumeration date
08/27/2020
Last updated
08/27/2020
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