Individual
MESERET DAGNEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12237 HARBOR TOWN CIR, FAIRFAX, VA 22033-2583
(571) 375-4180
Mailing address
12237 HARBOR TOWN CIR, FAIRFAX, VA 22033-2583
(571) 375-4180
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
43-3241026
VA
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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