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Individual

AMANUEL GIRMAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5228 ILLINOIS AVE NW, WASHINGTON, DC 20011-3904
(571) 635-2761
Mailing address
5228 ILLINOIS AVE NW, WASHINGTON, DC 20011-3904
(571) 635-2761

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-22-223275
DC
374U00000X
Home Health Aide
Primary
HHA13349
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HHA13349
HHA CERTIFICATE NUMBER
DC
Enumeration date
01/11/2018
Last updated
07/27/2022
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