Individual
MS. AYANTU KEBEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
433 S WASHINGTON ST, ALEXANDRIA, VA 22314-3629
(703) 836-7668
Mailing address
433 S WASHINGTON ST, ALEXANDRIA, VA 22314-3629
(703) 836-7668
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206861
VA
Other
Enumeration date
11/21/2020
Last updated
11/21/2020
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