Individual
HAWI ASSEFA KENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6401 AMERICA BLVD, HYATTSVILLE, MD 20782-2357
(855) 910-3278
Mailing address
6401 AMERICA BLVD, HYATTSVILLE, MD 20782-2357
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
04/21/2023
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