Individual
ATHANASIA DACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10701 SUDLEY MANOR DR, MANASSAS, VA 20109-2845
(703) 335-1414
Mailing address
5033 SIGNATURE CT, HAYMARKET, VA 20169-2655
(571) 359-0249
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213115
VA
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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