Individual
MIRA YOUNAN SHENOUDY SHENOUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11230 WAPLES MILL RD STE 115, FAIRFAX, VA 22030-5026
(703) 272-7040
Mailing address
6409 PADDINGTON CT APT 202, CENTREVILLE, VA 20121-5920
(571) 241-6166
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202219294
VA
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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