Individual
BEZAWIT SEYOUM AYENACHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1329 UNIVERSITY BLVD E, TAKOMA PARK, MD 20912-7445
(301) 445-8159
Mailing address
1329 UNIVERSITY BLVD E, TAKOMA PARK, MD 20912-7445
(301) 445-8159
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19909
MD
Other
Enumeration date
06/06/2012
Last updated
10/14/2024
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