Individual
KIDIST TAMIRAT ARFICHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N. WOLFE ST. PHIPPS B-100, BALTIMORE, MD 21287
(204) 105-0200
Mailing address
22250 PROVIDENCE DR, SOUTHFIELD, MI 48075-4825
(248) 849-3281
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351046905
MI
Other
Enumeration date
06/03/2020
Last updated
06/23/2025
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