Individual
AZEB ESHETE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6420 14TH ST NW, WASHINGTON, DC 20012-2964
(024) 519-8892
Mailing address
6420 14TH ST NW APT 205, WASHINGTON, DC 20012-2946
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376K00000X
Nurse's Aide
Primary
A00185084
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12326790
ID
DC
Enumeration date
04/17/2019
Last updated
07/05/2022
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