MABLE WU WALLACE

ASHBURN, VA
NPI1144512757
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: VA  0202205009)
Enumeration Date2011-05-15
Last Update Date2011-05-15
Business Address
Mrs. MABLE WU WALLACE
20070 ASHBROOK COMMONS PLZ
ASHBURN, VA 20147-5034
Phone number: 571-223-0517
Mailing Address
Mrs. MABLE WU WALLACE
37081 ELAINE PL
PURCELLVILLE, VA 20132-5072
Phone number: 703-801-9967