Individual
VENISE RITA DE ETOULEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
1525 14TH ST NW, WASHINGTON, DC 20005-3706
(202) 745-6135
Mailing address
1525 14TH ST NW, WASHINGTON, DC 20005-3706
(202) 745-6135
(202) 595-8262
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH100004235
DC
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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