Individual
GENET GOBAW TADELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7826 EASTERN AVE NW STE LL16, WASHINGTON, DC 20012-1328
(202) 723-1100
Mailing address
2736 SWEET CLOVER CT, SILVER SPRING, MD 20904-1888
(240) 433-2373
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CNA20203060
MD
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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