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Individual

MR. JAMES JOSEPH MIZNER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
11608 BRANDON HILL WAY, RESTON, VA 20194-1215
(703) 435-8163
Mailing address
11608 BRANDON HILL WAY, RESTON, VA 20194-1215
(703) 435-8163

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202-006072
VA

Other

Enumeration date
07/02/2012
Last updated
07/02/2012
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