Individual
JACQUELINE DAWN LEEHOFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PD
Contact information
Practice address
8627 BROOK RD, MC LEAN, VA 22102-1504
(703) 635-6520
Mailing address
8627 BROOK RD, MC LEAN, VA 22102-1504
(703) 635-6520
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009809
VA
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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