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Individual

BENIAM WOLDESELASSIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3611 BRANCH AVE, SUITE 202, TEMPLE HILLS, MD 20748-1242
(301) 899-3799
Mailing address
3611 BRANCH AVE, SUITE 202, TEMPLE HILLS, MD 20748-1242
(301) 899-3799

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2755
MD

Other

Enumeration date
02/11/2015
Last updated
02/11/2015
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