Individual
DR. ADDIS DEREJE TSEGAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4606 KENMORE AVE, ALEXANDRIA, VA 22304-1301
(703) 370-6440
(703) 212-7319
Mailing address
4606 KENMORE AVE, ALEXANDRIA, VA 22304-1301
(703) 370-6440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202210599
VA
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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