Individual
FANTANESH A TESSEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 LEE AVE, APT # 35, TAKOMA PARK, MD 20912-4960
(202) 882-1058
Mailing address
117 LEE AVE, APT # 35, TAKOMA PARK, MD 20912-4960
(202) 882-1058
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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