Individual
MESKEREM TADESSE KIFETEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5107 TIDLER CT, GLENN DALE, MD 20769-9110
(301) 809-1338
Mailing address
5107 TIDLER CT, GLENN DALE, MD 20769-9110
(301) 809-1338
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18318
MD
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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