Individual
BANCHIAMLAKE GIRMA MARU I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7826 EASTERN AVE NW STE LL16, WASHINGTON, DC 20012-1328
(202) 723-1100
Mailing address
1444 ROCK CREEK FORD RD NW APT 117, WASHINGTON, DC 20011-1726
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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