Individual
JENNIFER CERVONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-3224
Mailing address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202214821
VA
183500000X
Pharmacist
28RI02901100
NJ
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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