Individual
MS. MIMI BEKELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6706 DEBRA LU WAY, SPRINGFIELD, VA 22150-7816
(703) 622-5988
Mailing address
6706 DEBRA LU WAY, SPRINGFIELD, VA 22150-7816
(703) 622-5988
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011705
VA
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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