Individual
DEREJE TESFAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNMT
Contact information
Practice address
5715 CAMERFORD AVE APT 106, LOS ANGELES, CA 90038-3944
(213) 804-5904
Mailing address
5715 CAMERFORD AVE APT 106, LOS ANGELES, CA 90038-3944
(213) 804-5904
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
RHN2719
CA
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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