Individual
PHUONG LE
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
3474 PENCE CT, ANNANDALE, VA 22003-1424
(571) 457-4847
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202216152
VA
183700000X
Pharmacy Technician
—
—
Other
Enumeration date
02/12/2015
Last updated
11/28/2020
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