Individual
NICKEILA SHERAE MURPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6501 LOISDALE CT, SPRINGFIELD, VA 22150-1826
(703) 922-1000
Mailing address
6501 LOISDALE CT STE 1100, SPRINGFIELD, VA 22150-1885
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0230026163
VA
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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