Individual
GEBI DAKEBO GENEMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
14826 SE MISTY DR, APT 302, HAPPY VALLEY, OR 97086-6613
(813) 842-8699
Mailing address
14826 SE MISTY DR, APT 302, HAPPY VALLEY, OR 97086-6613
(813) 842-8699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201700037RN
OR
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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