Individual
TIGIST KETEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
376 PEAR BLOSSOM RD, STAFFORD, VA 22554-2571
(202) 910-8081
Mailing address
376 PEAR BLOSSOM RD, STAFFORD, VA 22554-2571
(202) 910-8081
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001285608
VA
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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