YONAS AITENEW ADDISU

STAUNTON, VA
NPI1982323200
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA  0024184857)
Enumeration Date2022-08-22
Last Update Date2022-08-22
Business Address
YONAS AITENEW ADDISU
103 VALLEY CENTER DR
STAUNTON, VA 24401-5080
Phone number: 540-332-8000
Mailing Address
YONAS AITENEW ADDISU
88 HULL HILLS LN
STAUNTON, VA 24401-5784
Phone number: 540-457-6247