Individual
MELAT DEREJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9705 LIBERIA AVE, MANASSAS, VA 20110-1743
(703) 680-7950
Mailing address
9705 LIBERIA AVE, MANASSAS, VA 20110-1743
(703) 680-7950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
04/28/2026
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