Individual
REKIK T TESEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4102 TOWNHOUSE RD APT A, HENRICO, VA 23228-5359
(703) 397-7762
Mailing address
4102 TOWNHOUSE RD APT A, HENRICO, VA 23228-5359
(703) 397-7762
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T63543807
VA
172A00000X
Driver
TRANSPORTER
VA
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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