Individual
MOE M SAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5917 HIGH ST W, PORTSMOUTH, VA 23703-4505
(757) 686-5929
Mailing address
5917 HIGH ST W, PORTSMOUTH, VA 23703-4505
(757) 686-5929
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202221143
VA
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
About Stedi
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