Individual
MARIA MIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 SENECA RD, GREAT FALLS, VA 22066-1373
(703) 444-1570
Mailing address
1020 SENECA RD, GREAT FALLS, VA 22066-1373
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202216155
VA
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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