Individual
FASIL NIGATU BELIHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5380 SUNNYVALE DR, ANTIOCH, TN 37013-5664
(615) 582-2647
Mailing address
5380 SUNNYVALE DR, ANTIOCH, TN 37013-5664
(615) 582-2647
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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