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Individual

MS. BIRTUKAN BIZUAYEN GEBREMARIAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
7005 22ND AVE, HYATTSVILLE, MD 20783-2899
(301) 605-4934
Mailing address
7005 22ND AVE, HYATTSVILLE, MD 20783-2899
(301) 605-4934

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LPN1005514
DC

Other

Enumeration date
06/15/2012
Last updated
07/05/2012
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