Individual
KHADEEJAH AAYEESHAH EL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7530 TIDEWATER DR, NORFOLK, VA 23505-3717
(757) 480-3051
Mailing address
7530 TIDEWATER DR, NORFOLK, VA 23505-3717
(757) 480-3051
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0230028639
VA
Other
Enumeration date
03/17/2021
Last updated
03/15/2023
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