Individual
MONICA IVONE ZEBALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1434 PORTER ST, FREDERICK, MD 21702-9254
(301) 619-7175
Mailing address
1434 PORTER ST, FREDERICK, MD 21702-9254
(301) 619-7175
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202204939
VA
Other
Enumeration date
07/20/2011
Last updated
07/22/2011
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