Individual
MAHLET HAILU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-1215
Mailing address
6541 KOZIARA DR, BURKE, VA 22015-4131
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
PENDING
DC
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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