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Individual

DR. KATIE STEPHENS WASALASKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5115 LEESBURG PIKE, 1893, FALLS CHURCH, VA 22041-3207
(703) 253-0022
(703) 253-0022
Mailing address
5902 MOUNT EAGLE DR APT 310, ALEXANDRIA, VA 22303-2515
(703) 855-3551

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207257
VA

Other

Enumeration date
06/10/2011
Last updated
06/10/2011
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