Individual
FASICA BIRHAN WORKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 UNIVERSITY BLVD W, SILVER SPRING, MD 20901-4624
(240) 330-5786
Mailing address
505 UNIVERSITY BLVD W, SILVER SPRING, MD 20901-4624
(240) 330-5786
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200004178
DC
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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