Individual
JINOUS GRANMAYEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1392 CHAIN BRIDGE RD, MC LEAN, VA 22101-3904
(571) 488-6030
Mailing address
2011 WESTWOOD FOREST DR, VIENNA, VA 22182-5053
(301) 332-0234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202205024
VA
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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