Individual
MR. ERMIAS YIRGA KASSAHUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
813 ALEC CT, NOLENSVILLE, TN 37135-9735
(615) 719-4208
Mailing address
813 ALEC CT, NOLENSVILLE, TN 37135-9735
(615) 719-4208
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
001309136
TN
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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