Individual
MILEN TESFAMARIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 ROSEWICK RD, LA PLATA, MD 20646-4216
(301) 392-5485
Mailing address
200 ROSEWICK RD, LA PLATA, MD 20646-4216
(301) 392-5485
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24839
MD
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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