Individual
YOHANNES TSEGAYE GEBIRESELASSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7106 BRANCH FORK RD, CHARLOTTE, NC 28215-7390
(704) 589-7657
Mailing address
7106 BRANCH FORK RD, CHARLOTTE, NC 28215-7390
(704) 589-7657
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
000036280060
NC
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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