Individual
TESFAYE TESEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4804 W ST KATERI DR, LAVEEN, AZ 85339-8202
(602) 831-8280
Mailing address
4804 W ST KATERI DR, LAVEEN, AZ 85339-8202
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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