Individual
MITRA DAEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 LAUREL ST STE A, CULPEPER, VA 22701-3910
(540) 317-1469
Mailing address
650 LAUREL ST STE A, CULPEPER, VA 22701-3910
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213747
VA
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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