Individual
BEYENE WELDEMICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 SORENSON RD APT 42, HAYWARD, CA 94544-3056
(415) 812-8364
Mailing address
601 SORENSON RD APT 42, HAYWARD, CA 94544-3056
(415) 812-8364
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9FF1-AK5-YV38
—
CA
Enumeration date
03/07/2023
Last updated
03/07/2023
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