Individual
CHARLENE AISA ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20321 SUSAN LESLIE DR, ASHBURN, VA 20147-5682
(703) 726-8647
Mailing address
20321 SUSAN LESLIE DR, ASHBURN, VA 20147-5682
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213209
VA
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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