Individual
DESALEGN GETACHEW ZERU SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 GWINNETT DRIVE, LAWRENCEVILLE, GA 30046
(678) 209-2394
Mailing address
884 CHURCH WAY APT A, CLARKSTON, GA 30021
(404) 667-5813
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN260112
GA
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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