Individual
KRISTEN KU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46201 POTOMAC RUN PLZ, STERLING, VA 20164-6609
(703) 444-8440
Mailing address
46201 POTOMAC RUN PLZ, STERLING, VA 20164-6609
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202219275
VA
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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