Individual
JITISHA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
337 MAPLE AVE E, VIENNA, VA 22180-4717
(703) 938-2374
Mailing address
337 MAPLE AVE E, VIENNA, VA 22180-4717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202220790
VA
Other
Enumeration date
01/02/2023
Last updated
01/02/2023
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