Individual
ETEGENET T. FENTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 FORT DR NE, WASHINGTON, DC 20011-7420
(571) 201-6673
Mailing address
112 FORT DR NE, WASHINGTON, DC 20011-7420
(571) 201-6673
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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