Individual
AGATA ACUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11181 LEE HWY, FAIRFAX, VA 22030-5004
(703) 995-5061
Mailing address
2529 BANSHIRE DR, HERNDON, VA 20171-3491
(440) 541-9061
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202219347
VA
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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