Individual
JONATHAN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9200 CENTREVILLE RD, MANASSAS, VA 20110-5131
(703) 368-9146
Mailing address
9200 CENTREVILLE RD, MANASSAS, VA 20110-5131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202215664
VA
Other
Enumeration date
11/21/2020
Last updated
11/21/2020
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