Individual
KAVITHA THONUPUNURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1062 ELDEN ST, HERNDON, VA 20170-3803
(703) 471-7000
Mailing address
43080 ADDLESTONE PL, ASHBURN, VA 20148-6809
(571) 423-8733
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207338
VA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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