Individual
EDEN T KIDANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2416 12TH ST NE, WASHINGTON, DC 20018-1018
(202) 910-7094
Mailing address
2416 12TH ST NE, WASHINGTON, DC 20018-1018
(202) 910-7094
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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