Individual
AIDA TESFAYE-KEDJELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8141 VISTA DR, LA MESA, CA 91941-6429
(267) 235-8252
Mailing address
PO BOX 34120, RENO, NV 89533-4120
(267) 235-8252
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C161475
CA
207L00000X
Anesthesiology Physician
MT184131
PA
Other
Enumeration date
04/03/2007
Last updated
03/30/2022
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