Individual
MS. BLEN NIGUSSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
106 IRVING ST NW, WASHINGTON, DC 20010-2927
(202) 877-4599
(202) 877-0448
Mailing address
13324 SHEFFIELD MANOR DR UNIT 4, SILVER SPRING, MD 20904-7200
(301) 768-6518
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA031432
DC
Other
Enumeration date
02/19/2018
Last updated
02/15/2021
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