Individual
TESFAADAM MULAT ADMASSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 SOMERSET PL NW APT 203, WASHINGTON, DC 20011-1089
(202) 722-2851
Mailing address
1405 SOMERSET PL NW APT 203, WASHINGTON, DC 20011-1089
(202) 722-2851
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA14848
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2431381
DRIVER LICENSE
DC
Enumeration date
01/29/2020
Last updated
01/29/2020
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