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Individual

HIYAB GOITOM YOHANNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
44050 ASHBURN SHOPPING PLZ STE 179, ASHBURN, VA 20147-7916
(703) 726-9401
Mailing address
6252 ROSE HILL DR APT 2B, ALEXANDRIA, VA 22310-6252

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1046794
DC
363LP2300X
Primary Care Nurse Practitioner
Primary
0024185945
VA

Other

Enumeration date
08/07/2020
Last updated
09/26/2023
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