Individual
DESTA AYANA MULETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-7016
(301) 295-2121
(301) 295-2121
Mailing address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-0001
(301) 295-2121
(713) 691-5338
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
62733
TX
Other
Enumeration date
09/22/2022
Last updated
03/03/2025
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