Individual
HELENE RIESENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8812 CROMWELL DR, SPRINGFIELD, VA 22151-1118
(773) 744-3898
Mailing address
8812 CROMWELL DR, SPRINGFIELD, VA 22151-1118
(773) 744-3898
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211994
VA
183500000X
Pharmacist
051286617
IL
183500000X
Pharmacist
19031
IA
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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