Individual
MRS. PHYDARIEL LAVERNE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7501 HUNTSMAN BLVD, SPRINGFIELD, VA 22153-1649
(703) 866-2336
(844) 411-6539
Mailing address
13315 PACKARD DR, WOODBRIDGE, VA 22193-3959
(703) 967-9102
(703) 680-6570
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202012131
VA
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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