Individual
MINIA ISAYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20070 ASHBROOK COMMONS PLZ, ASHBURN, VA 20147-5034
(571) 223-0517
(571) 223-0542
Mailing address
20070 ASHBROOK COMMONS PLZ, ASHBURN, VA 20147-5034
(571) 223-0517
(571) 223-0542
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202205620
VA
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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