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Mebratie Nigussie

NPI 1205621661 · on the registry since 2025

Practice

Address
3949 Hartlake St
Woodbridge, VA 22192
Phone
(703) 909-9610

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia