Individual
MARIELA IRIS BURGOS TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
31369
NC
Other
Enumeration date
07/05/2022
Last updated
08/22/2023
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