Individual
MARDA MENBERE MENGESHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 SAINT PAUL ST, BALTIMORE, MD 21202-2123
(410) 332-9000
Mailing address
1720 WHITEHALL DR, SILVER SPRING, MD 20904-2298
(240) 994-6040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0007480
MD
Other
Enumeration date
02/04/2019
Last updated
05/19/2020
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