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Individual

DR. THEODROS DAGNEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1700 17TH ST NW, SUITE A, WASHINGTON, DC 20009-2453
(703) 835-0827
Mailing address
5934 WOODFIELD ESTATES DR, ALEXANDRIA, VA 22310-1872
(703) 835-0827

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NAT1000250
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NAT1000250
NATUROPATHY
DC
Enumeration date
02/27/2007
Last updated
07/08/2007
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