Individual
BIRUKTAIT ZEWDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3756 SANTA ROSALIA DR STE 417, LOS ANGELES, CA 90008-3614
(323) 295-1136
(323) 295-1071
Mailing address
720 N EUCALYPTUS AVE, INGLEWOOD, CA 90302-3632
(323) 952-1995
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R119200115
CA
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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