Individual
ADDIS WAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7506 GEORGIA AVE NE, WASHINGTON, DC 20012
(202) 291-6973
Mailing address
15 MANCHESTER PL APT 101, SILVER SPRING, MD 20901-4219
(240) 701-1025
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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