Individual
MIRNA ABUJRAB KALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3053 NUTLEY ST, FAIRFAX, VA 22031-1931
(703) 560-4862
Mailing address
8324 WOODLEA MILL RD, MC LEAN, VA 22102-2321
(703) 623-1180
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208357
VA
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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