Individual
TESFOM BERHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
2000 MOWRY AVE, FREMONT, CA 94538-1716
(510) 797-1111
Mailing address
70 HARLAN ST APT 109, SAN LEANDRO, CA 94577-5844
(573) 465-3214
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
149088-0159
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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