Individual
KANAE DIMAGGIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6908 MAIN ST, GLOUCESTER, VA 23061-5121
(804) 693-2160
Mailing address
6908 MAIN ST, GLOUCESTER, VA 23061-5121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202214022
VA
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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