Individual
MICHELLE KA-LAI MICHIKO TADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2351 FRANKLIN RD SW, ROANOKE, VA 24014-1111
(540) 985-6491
(540) 985-6497
Mailing address
3601 SUNSCAPE CT APT 111, ROANOKE, VA 24018-3162
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202210533
VA
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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