Individual
MINAKSHI KIRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14000 WORTH AVE, WOODBRIDGE, VA 22192-4121
(703) 497-2690
Mailing address
12600 CRAWFISH HOLLOW CT, MANASSAS, VA 20112-4699
(703) 863-5670
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202209535
VA
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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