Individual
KATRINA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8416 LEE HWY, FAIRFAX, VA 22031-1503
(703) 560-8411
(703) 560-8422
Mailing address
8416 LEE HWY, FAIRFAX, VA 22031-1503
(703) 560-8411
(703) 560-8422
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202214312
VA
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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