Individual
ASHENAFI DESTA GONEMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1415 TUCKERMAN ST NW, WASHINGTON, DC 20011-1081
(202) 910-5456
Mailing address
1415 TUCKERMAN ST NW, WASHINGTON, DC 20011-1081
(202) 910-5456
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200002911
DC
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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