Individual
DR. YOHANNES MAHTEMEWORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
528 LEGRACE TER NE, LEESBURG, VA 20176-1828
(571) 484-1535
Mailing address
528 LEGRACE TER NE, LEESBURG, VA 20176-1828
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
239239
NY
Other
Enumeration date
10/18/2006
Last updated
03/28/2016
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