Individual
MARY LEIGH HARLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8340 SUDLEY RD, MANASSAS, VA 20109-3428
(703) 392-3634
(703) 392-3634
Mailing address
8340 SUDLEY RD, MANASSAS, VA 20109-3428
(703) 392-3634
(703) 392-3634
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202210859
VA
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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