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Individual

LULA FISSAHATSION GHIDEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2901 S GLEBE RD, ARLINGTON, VA 22206-2710
(703) 739-3714
Mailing address
6052 FORREST HOLLOW LN, WEST SPRINGFIELD, VA 22152-1428

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202216146
VA

Other

Enumeration date
11/09/2020
Last updated
11/09/2020
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