Individual
MICHAEL AYUK NKONGHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
12197 SUNSET HILLS RD, RESTON, VA 20190-3208
(703) 478-9698
Mailing address
12197 SUNSET HILLS RD, RESTON, VA 20190-3208
(703) 478-9698
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202220981
VA
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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