Individual
DIEU-TIEN LE CONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10100 DUMFRIES RD, MANASSAS, VA 20110-7951
(703) 331-2320
Mailing address
10100 DUMFRIES RD, MANASSAS, VA 20110-7951
(703) 331-2320
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202204811
VA
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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