Individual
ANGELINA KANKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
15371 BRONCO WAY, WOODBRIDGE, VA 22193-8506
(571) 264-9388
Mailing address
15371 BRONCO WAY, WOODBRIDGE, VA 22193-8506
(571) 264-9388
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202205716
VA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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