Individual
SAMANTHA MOSQUERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4310 FORTUNA CENTER PLZ, DUMFRIES, VA 22025-1538
(703) 586-6133
Mailing address
4310 FORTUNA CENTER PLZ, DUMFRIES, VA 22025-1538
(703) 586-6133
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0230012024
VA
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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