Individual
MERON WELDETSADIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6412 HORSESHOE RD, CLINTON, MD 20735-2533
(571) 250-9629
Mailing address
8861 BRANCH AVE # 1285, CLINTON, MD 20735-2632
(571) 250-9629
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
9EE0802
MD
172A00000X
Driver
—
—
Other
Enumeration date
11/21/2023
Last updated
01/31/2024
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