Individual
MULU MENGISTAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2041 GEORGIA AVE NW, WASHINGTON, DC 20059-0001
(202) 865-4350
Mailing address
1435 4TH ST SW APT B517, WASHINGTON, DC 20024-2230
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH100000639
DC
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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