Individual
MRS. KIMBERLY MARIE BALABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
12255 FAIR LAKES PKWY, FAIRFAX, VA 22033-3952
(703) 934-5711
(703) 934-5835
Mailing address
12255 FAIR LAKES PKWY, FAIRFAX, VA 22033-3952
(703) 934-5711
(703) 934-5835
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202007022
VA
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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