Individual
AKLILU GULUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
180 MAPLE AVE W, VIENNA, VA 22180-5727
(703) 938-5300
(703) 242-0726
Mailing address
180 MAPLE AVE W, VIENNA, VA 22180-5727
(571) 363-3539
(571) 363-3540
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024175583
VA
363LF0000X
Family Nurse Practitioner
RN1047450
DC
Other
Enumeration date
03/14/2018
Last updated
11/10/2022
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