Individual
MISS NOOR TAKIEDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11620 MONUMENT DR, FAIRFAX, VA 22030-8706
(703) 225-9393
Mailing address
4668 KEARNS CT, CENTREVILLE, VA 20120-6445
(703) 225-9393
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0230026980
VA
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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