Individual
MISS ZURIASHWORK T DAMTEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8118 GOOD LUCK RD, DOCTORS COMMUNITY MEDICAL GROUP LLC, LANHAM, MD 20706-3574
(301) 552-8031
Mailing address
PO BOX 418056, DOCTORS COMMUNITY MEDICAL GROUP LLC, BOSTON, MA 02241-8056
(301) 552-8031
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0005012
MD
363AM0700X
Medical Physician Assistant
PA52058
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA52058
LICENSE
CA
Enumeration date
03/29/2013
Last updated
08/10/2015
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