Individual
BASMA KAMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45130 COLUMBIA PL, STERLING, VA 20166-2500
(703) 463-2008
Mailing address
4398 POPLAR TREE CT, CHANTILLY, VA 20151-2523
(703) 832-7201
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202217522
VA
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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