Individual
BENITO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23684 STRICKLAND DR, ASHBURN, VA 20148-7726
(571) 367-6039
Mailing address
23684 STRICKLAND DR, ASHBURN, VA 20148-7726
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202222031
VA
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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