Individual
IZUNWANNE KINGSLEY KAGHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8041 SUDLEY RD, MANASSAS, VA 20109-8001
(703) 368-9246
Mailing address
8041 SUDLEY RD, MANASSAS, VA 20109-8001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202210987
VA
Other
Enumeration date
11/26/2020
Last updated
11/26/2020
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