Individual
KIMUYEN MAI PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2946 SLEEPY HOLLOW RD STE 1, FALLS CHURCH, VA 22044-2003
(703) 532-8989
Mailing address
9417 ATHENS RD, FAIRFAX, VA 22032-1215
(571) 327-7568
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202204381
VA
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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