Individual
ALICE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12197 SUNSET HILLS RD, RESTON, VA 20190
(703) 478-9698
Mailing address
12197 SUNSET HILLS RD, RESTON, VA 20190-3208
(703) 478-9698
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0230023835
VA
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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