Search › Virginia › 172A00000X
Mulu Wassie
NPI 1285463778 · on the registry since 2024 · sole proprietor
Practice
- Address
- 840 Revelstore Ter Ne
Leesburg, VA 20176 - Phone
- (703) 655-7386
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-17
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