Individual
MATTEO MAISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3489 SEMINOLE TRL, CHARLOTTESVILLE, VA 22911-5637
(434) 964-1082
Mailing address
2628 SNOWMASS DR, ROCKINGHAM, VA 22801-3671
(540) 412-3479
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202219576
VA
Other
Enumeration date
06/25/2021
Last updated
03/21/2022
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