Individual
REDIAT TADESSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12213 OLD FORT RD, FORT WASHINGTON, MD 20744-2714
(571) 344-4809
Mailing address
12213 OLD FORT RD, FORT WASHINGTON, MD 20744-2714
(571) 344-4809
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-00288
MD
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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