Individual
AKELAT DEMESSEW GEZAHEGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
450 BAUCHET ST, LOS ANGELES, CA 90012-2907
(213) 473-2953
Mailing address
2026 SAINT ANDREWS WAY, HAWTHORNE, CA 90250-3375
(310) 756-3186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95014197
CA
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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