Individual
EDOM ENDALE GENEMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8316 ARLINGTON BLVD STE 300, FAIRFAX, VA 22031-5216
(703) 468-4195
(703) 280-9350
Mailing address
8316 ARLINGTON BLVD STE 300, FAIRFAX, VA 22031-5216
(703) 573-2432
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101283017
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/26/2021
Last updated
07/15/2024
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