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Individual

MRS. NAGA JYOTHI VEJALLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
43480 YUKON DR, ASHBURN, VA 20147-6988
(571) 252-6005
Mailing address
21962 HYDE PARK DR, ASHBURN, VA 20147-6913
(703) 729-3447

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202013086
VA

Other

Enumeration date
11/12/2011
Last updated
11/12/2011
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