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Individual

ETSUBDENK MEZEMIR AJEBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4211 FAIRFAX CORNER AVE E STE 225, FAIRFAX, VA 22030-8623
(703) 278-2473
(703) 239-4857
Mailing address
4211 FAIRFAX CORNER AVE E STE 225, FAIRFAX, VA 22030-8623
(703) 278-2473
(703) 239-4857

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101283681
VA
207N00000X
Dermatology Physician
Primary
7730D97154
MD

Other

Enumeration date
06/10/2019
Last updated
02/10/2026
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