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Individual

EMEBET DEMISSIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10350 CASTLEHEDGE TER, SILVER SPRING, MD 20902-5808
(845) 337-2495
Mailing address
10350 CASTLEHEDGE TER, SILVER SPRING, MD 20902-5808

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002091591
VA

Other

Enumeration date
10/16/2015
Last updated
10/16/2015
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