Individual
DR. EDEN ALEMAYEHU WUBANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
5801 QUANTRELL AVE, 502, ALEXANDRIA, VA 22312-2715
(571) 234-2969
(703) 379-1099
Mailing address
5801 QUANTRELL AVE, 502, ALEXANDRIA, VA 22312-2715
(571) 234-2969
(703) 379-1099
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556709
VA
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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