Individual
KASSAHUN TEFERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3422 GEORGIA AVE NW, WASHINGTON, DC 20001-4029
(202) 413-1092
Mailing address
3422 GEORGIA AVE NW, WASHINGTON, DC 20010-2592
(202) 413-1092
Taxonomy
Speciality
Code
Description
License number
State
246QC1000X
Chemistry Pathology Specialist/Technologist
04213642
IL
291U00000X
Clinical Medical Laboratory
Primary
04213642
IL
Other
Enumeration date
07/29/2008
Last updated
03/07/2016
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