Individual
ELIPHAZ ASFAW GETACHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1627 WHITE BEAR AVE N, SAINT PAUL, MN 55106-1609
(651) 285-5797
Mailing address
9944 WAKE CT NE, CIRCLE PINES, MN 55014-2531
(651) 285-5797
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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