Individual
ADDISU MAMO MEHERET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1613 BECONTREE LN APT 1C, RESTON, VA 20190-4085
(571) 344-9796
Mailing address
1613 BECONTREE LN APT 1C, RESTON, VA 20190-4085
(571) 344-9796
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
VA
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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