Most Relevant Information
Provider Data
| NPI Number: | 1003423898 |
| Provider Name: | HALEY MAI-TRAM LUU |
| Entity Type: | Individual |
| Taxonomy Code: | 183700000X |
| Specialty: | Pharmacy Technician |
| License Number: | 0230030285 |
Most Important Dates
| Enumeration Date: | 09/25/2020 |
| Last Updated: | 09/28/2020 |
Provider Practice Location
1300 EDWARDS FERRY RD NE
LEESBURG
VA
201763355
Practice Location Phone/Fax
| Phone: | 5403130822 |
| Fax: |
Provider Mailing Location
44831 MILESTONE SQ APT 336
ASHBURN
VA
201474225
Provider Mailing Phone/Fax
| Phone: | 5403130822 |
| Fax: |