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Individual

ZION KETEMA DESTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2333 ONTARIO RD NW, WASHINGTON, DC 20009-2627
(202) 483-8196
Mailing address
648 E SANDRA LN, GRAND PRAIRIE, TX 75052-2533
(972) 607-5154

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1096608
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2022064183
TX

Other

Enumeration date
10/19/2022
Last updated
06/09/2025
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