Individual
GIGI WOLDEAMANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4213 WALNEY RD, CHANTILLY, VA 20151-2923
(703) 502-7000
(703) 502-7006
Mailing address
4213 WALNEY RD, CHANTILLY, VA 20151-2923
(703) 502-7000
(703) 502-7006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001209603
VA
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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