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Individual

EDOM Z BELETE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1500 FOREST GLEN RD, SILVER SPRING, MD 20910-1460
(301) 754-7500
Mailing address
1500 FOREST GLEN RD, SILVER SPRING, MD 20910-1460
(301) 754-7000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006971
MD
363A00000X
Physician Assistant
PA031554
DC

Other

Enumeration date
09/17/2018
Last updated
01/01/2024
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