Individual
TEMESGEN ASFAW KERSEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
619 N JORDAN ST APT 103, ALEXANDRIA, VA 22304-5427
(571) 435-5477
Mailing address
619 N JORDAN ST APT 103, ALEXANDRIA, VA 22304-5427
(571) 435-5477
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
A69692887
VA
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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