Individual
MISS MONIQUE TANKSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2233 UPTON DR, VIRGINIA BEACH, VA 23454-1186
(757) 430-5101
(757) 430-5111
Mailing address
2233 UPTON DR, VIRGINIA BEACH, VA 23454-1186
(757) 430-5101
(757) 430-5111
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0230017226
VA
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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