Individual
HERMELLA M MELESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43402 APPLE ORCHARD SQ, ASHBURN, VA 20148-7581
(571) 619-0184
(804) 800-4117
Mailing address
PO BOX 2593, MANASSAS, VA 20108-0865
(571) 619-0184
(804) 800-4117
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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