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1740301761
GENET DESTA
WASHINGTON, DC
NPI
1740301761
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Former Name
GENET DESTA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: DC MD)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
Dr. GENET DESTA MD
1901 D ST SE
WASHINGTON, DC 20003-2534
Phone number: 202-698-0438
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Mailing Address
Dr. GENET DESTA MD
5268 COZY GLEN LN
ALEXANDRIA, VA 22312-3900
Phone number: 703-212-7477
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