Individual
ABAYNESH NEGASH DESALEGN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6934 AVIATION BLVD STE B, GLEN BURNIE, MD 21061-2593
(443) 949-0814
(443) 949-0825
Mailing address
8328 NAVAHOE DR, SILVER SPRING, MD 20903-3331
(240) 898-7015
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0005175
MD
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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