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1982484051
ELLENI ABAYNEH WOLDEAMANUEL
RESTON, VA
NPI
1982484051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD AC005921)
Enumeration Date
2023-10-04
Last Update Date
2024-09-20
Business Address
ELLENI ABAYNEH WOLDEAMANUEL
12007 SUNRISE VALLEY DR STE 120
RESTON, VA 20191-3460
Phone number: 240-426-3859
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Mailing Address
ELLENI ABAYNEH WOLDEAMANUEL
12007 SUNRISE VALLEY DR STE 120
RESTON, VA 20191-3460
Phone number: 240-426-3859
Copy
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