Individual
EMNET G HAGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DR
Contact information
Practice address
5402 LEE HWY, ARLINGTON, VA 22207-1614
(703) 237-5373
(703) 237-0339
Mailing address
5402 LEE HWY, ARLINGTON, VA 22207-1614
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211050
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202211050
VA
VA
Enumeration date
12/01/2020
Last updated
12/01/2020
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