Individual
HANNA TESEMA CHAMISSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PARK PLZ APT 2601, SAN DIEGO, CA 92101-8034
(619) 457-1360
Mailing address
4181 WILSON AVE APT 3, SAN DIEGO, CA 92104-2278
(858) 214-4648
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y2195209
DRIVER LICENSE
CA
Enumeration date
06/09/2025
Last updated
06/09/2025
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