Individual
SOLOMON HAILEMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSA, CSA
Contact information
Practice address
12011 LEE JACKSON HWY, FAIRFAX, VA 22033
(703) 505-1022
(703) 455-9560
Mailing address
8964 SCOTT ST, SPRINGFIELD, VA 22153-2460
(703) 505-1022
(703) 455-9560
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA16
DC
Other
Enumeration date
03/30/2012
Last updated
09/05/2018
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