Individual
MAKEDA DOMOZ HAILESELASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-5060
(202) 741-3396
Mailing address
6352 DAKINE CIR, SPRINGFIELD, VA 22150-1194
(703) 869-4238
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN1002147
DC
Other
Enumeration date
02/23/2009
Last updated
11/21/2022
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