Individual
AJONGAKO ATABONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
134 W BROAD ST, FALLS CHURCH, VA 22046-4201
(703) 538-4835
Mailing address
775 GATEWAY DR SE APT 315, LEESBURG, VA 20175-4037
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202221538
VA
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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