Individual
DR. ANTENEH ENDASHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9271 SUDLEY RD, MANASSAS, VA 20110-5222
(571) 292-8722
Mailing address
9271 SUDLEY RD, MANASSAS, VA 20110-5222
(571) 292-8722
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208531
VA
Other
Enumeration date
12/09/2008
Last updated
11/23/2011
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