Individual
LOAN NGOC PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1079 EDWARDS FERRY RD NE, LEESBURG, VA 20176
(703) 554-6021
(703) 554-6024
Mailing address
43332 VESTALS PLACE, LEESBURG, VA 20176
(571) 333-3979
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011441
VA
Other
Enumeration date
05/01/2007
Last updated
10/14/2008
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