Individual
CRYSTAL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2460 PRINCE WILLIAM PKWY, WOODBRIDGE, VA 22192-4148
(703) 490-4415
Mailing address
2460 PRINCE WILLIAM PKWY, WOODBRIDGE, VA 22192-4148
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0230019174
VA
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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