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Adanech W Kidanie

Student in an Organized Health Care Education/Training Program in Springfield, VA. Individual provider (NPI-1).

NPI number1669822169
StatusActive
Last updated in NPPESJun 15, 2016

Details

NPI
1669822169
Entity type
Individual (NPI-1)
Name
Adanech W Kidanie
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 15, 2016
Last updated
Jun 15, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

6885 Brian Michael Ct
Springfield, VA 22153-1032

Phone 407-580-9990

Mailing address

6885 Brian Michael Ct
Springfield, VA 22153-1032

Phone 407-580-9990

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Springfield, VA

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