Individual
MARCEL MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4338 DALE BLVD, WOODBRIDGE, VA 22193-2402
(703) 680-2023
Mailing address
4338 DALE BLVD, WOODBRIDGE, VA 22193-2402
(703) 680-2023
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202217769
VA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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