Individual
MINA SHENOUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14391 CHANTILLY CROSSING LN, CHANTILLY, VA 20151-2118
(571) 262-0021
Mailing address
25619 PLEASANT VALLEY RD, CHANTILLY, VA 20152-6129
(703) 577-3948
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202218571
VA
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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