Individual
MRS. MAI VU LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8008 WESTPARK DR, MC LEAN, VA 22102-3109
(703) 287-4664
Mailing address
3908 LARO CT, FAIRFAX, VA 22031-3256
(703) 425-3494
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202007285
VA
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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