Individual
ZELALEM BAHIRU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-2522
Mailing address
2110 JELLICO CT, WOODBRIDGE, VA 22191-4461
(571) 338-2765
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024174533
VA
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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