Individual
MRS. KIDIST WORKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WILLIAMS CT, OWINGS MILLS, MD 21117-4889
(410) 908-5354
Mailing address
1 WILLIAMS CT, OWINGS MILLS, MD 21117-4889
(410) 908-5354
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R181283
MD
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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