Individual
JANNAT IJAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7500 CENTREVILLE RD, MANASSAS PARK, VA 20111-1743
(703) 369-1920
Mailing address
172 LAUREL WAY APT 2B, HERNDON, VA 20170-4432
(571) 653-0565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202222489
VA
Other
Enumeration date
12/06/2024
Last updated
12/08/2024
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