Individual
DR. FESSEHAIE TECLEAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1636 BELLEVUE BLVD, ALEXANDRIA, VA 22307
(703) 768-7044
(703) 768-1080
Mailing address
102 KEATING CIRCLE, STAFFORD, VA 22554
(703) 768-7044
(703) 768-1080
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020205272
VA
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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