Individual
MINTESINOT ACHAMYELEHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12101 CAROL LN, FREDERICKSBURG, VA 22407-6101
(540) 418-6681
Mailing address
9417 FARMINGTON DR, HENRICO, VA 23229-5337
(804) 300-2833
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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