Individual
PRISCILLA AGBALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
16712 JEFFERSON DAVIS HWY, DUMFRIES, VA 22026-2115
(703) 221-7467
Mailing address
503 ROOSEVELT BLVD APT A101, FALLS CHURCH, VA 22044-3115
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202220054
VA
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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