Individual
ENATENESH TESFAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14209 GEORGIA AVE, SILVER SPRING, MD 20906-2712
(301) 532-9431
Mailing address
14209 GEORGIA AVE, SILVER SPRING, MD 20906-2712
(301) 532-9431
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA200002624
—
DC
Enumeration date
03/03/2023
Last updated
03/03/2023
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