Individual
BISRAT BEYENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
855 S FREDERICK ST APT 202, ARLINGTON, VA 22204-2893
(571) 265-6482
Mailing address
855 S FREDERICK ST APT 202, ARLINGTON, VA 22204-2893
(571) 265-6482
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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