Individual
SELAMAWIT BELAY ABEGAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 THOMAS JOHNSON DR, FREDERICK, MD 21702-4301
(301) 663-6171
Mailing address
10741 VENETIA MILL CIR, SILVER SPRING, MD 20901-1584
(301) 213-4470
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
R228940
MD
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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