Individual
ADDISALEM BELETE GURARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
(718) 869-7672
(718) 869-8530
Mailing address
2765 FORREST ST, SACRAMENTO, CA 95815-1618
(279) 216-9385
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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