Individual
TIGIST WOLDEGEBRIAL HAILESELASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3357B CORRIDOR MARKETPLACE, LAUREL, MD 20724-2381
(301) 497-1820
Mailing address
4903 GEORGIA AVE NW, WASHINGTON, DC 20011-4525
(202) 723-0393
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0006033
MD
Other
Enumeration date
11/10/2016
Last updated
12/02/2025
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