Individual
ALIEH ARDEBILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9881 GEORGETOWN PIKE, GREAT FALLS, VA 22066-2617
(703) 759-3837
Mailing address
9881 GEORGETOWN PIKE, GREAT FALLS, VA 22066-2617
(703) 759-3837
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202012369
VA
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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