Individual
EVANTHIA SIOZIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Mailing address
85 W CASTOR PL, STATEN ISLAND, NY 10312-1150
(347) 589-5247
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
067194
NY
183500000X
Pharmacist
28RI04176900
NJ
Other
Enumeration date
05/22/2022
Last updated
05/22/2022
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