Individual
NAGAMANI MITTAPELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
13588 FLYING SQUIRREL DR, HERNDON, VA 20171-5003
(571) 263-6757
Mailing address
2304 HUNTERS WOODS PLZ, RESTON, VA 20191-2811
(703) 716-4203
(703) 716-3285
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207860
VA
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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