Individual
PANISA VIRGINIA JIUMDUMNEANKIJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5980 KINGSTOWNE TOWNE CTR, ALEXANDRIA, VA 22315-5876
(703) 921-3127
Mailing address
5980 KINGSTOWNE TOWNE CTR, ALEXANDRIA, VA 22315-5876
(703) 921-3127
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202218901
VA
Other
Enumeration date
10/24/2020
Last updated
10/24/2020
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