Individual
MONICA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5615 STONE RD, CENTREVILLE, VA 20120-1618
(703) 803-8556
Mailing address
5615 STONE RD, CENTREVILLE, VA 20120-1618
(703) 803-8556
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202212332
VA
Other
Enumeration date
07/29/2015
Last updated
11/05/2020
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