Individual
MRS. MENTEWABE FERESSA ABEDELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 1ST ST NE APT 308, WASHINGTON, DC 20002-4699
(202) 615-1078
Mailing address
PO BOX 92777, WASHINGTON, DC 20090-2777
(202) 615-1078
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2847594
DC DRIVER'S LICENSE
DC
Enumeration date
02/01/2023
Last updated
02/01/2023
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