Individual
MAUNIKA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21361 SCARA PL, BROADLANDS, VA 20148-3603
(703) 723-1852
Mailing address
21361 SCARA PL, BROADLANDS, VA 20148-3603
(703) 723-1852
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202012837
VA
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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