Individual
TSIGEMARIAM YOHANNES GEBREMARIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11218 W BERKELEY RD, AVONDALE, AZ 85392-5083
(617) 785-6933
Mailing address
11218 W BERKELEY RD, AVONDALE, AZ 85392-5083
(617) 785-6693
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN186932
AZ
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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