Individual
MS. ETENESH NEGUSSIE AGONAFER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRIMERY CARE GIVER
Contact information
Practice address
2900 14TH ST NW APT 211, WASHINGTON, DC 20009-6802
(571) 208-6007
Mailing address
1935 3RD ST NE APT 203, WASHINGTON, DC 20002-1405
(202) 378-6288
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3417554
ID
DC
Enumeration date
06/30/2019
Last updated
06/30/2019
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