Individual
ADANECH W KIDANIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6885 BRIAN MICHAEL CT, SPRINGFIELD, VA 22153-1032
(407) 580-9990
Mailing address
6885 BRIAN MICHAEL CT, SPRINGFIELD, VA 22153-1032
(407) 580-9990
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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