Individual
ALAZAR KASSA FEDLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2260 STONE WHEEL DR APT E, RESTON, VA 20191-3126
(571) 478-7770
Mailing address
2260 STONE WHEEL DR APT E, RESTON, VA 20191-3126
(571) 478-7770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009519
VA
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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