Individual
MULUGETA TECLAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7600 GEORGIA AVE NW STE 323, WASHINGTON, DC 20012-1616
(202) 723-3060
Mailing address
7600 GEORGIA AVE NW STE 323, WASHINGTON, DC 20012-1616
(202) 709-0813
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1047522
DC
Other
Enumeration date
06/21/2019
Last updated
07/01/2019
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