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Individual

ANGELIA NYCOLE WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D

Contact information

Practice address
10980 FAIRFAX BLVD, FAIRFAX, VA 22030-4329
(703) 259-6168
Mailing address
6105 WIGMORE LN UNIT G, ALEXANDRIA, VA 22315-5203
(703) 282-3564

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202205101
VA

Other

Enumeration date
01/24/2012
Last updated
01/24/2012
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