SearchVirginia183500000X

Behailu Desta, RPH

NPI 1841555422 · on the registry since 2012

Practice

Address
13870 Park Center Rd
Herndon, VA 20171
Phone
(703) 796-1188
Fax
(703) 796-2277

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-07-10

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