Individual
MICHAEL SEYOUM WENDIMU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3130 SAWTELLE BLVD APT # 206, LOS ANGELES, CA 90066
(310) 628-5498
Mailing address
3130 SAWTELLE BLVD APT # 206, LOS ANGELES, CA 90066
(310) 628-5498
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95018710
CA
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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