Individual
LEOLSEGED LEGESSE-MULUSHEWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3574
(301) 552-8130
Mailing address
1355 PEABODY ST NW APT 209, WASHINGTON, DC 20011-1874
(202) 468-6142
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004755
MD
363A00000X
Physician Assistant
PA030848
DC
Other
Enumeration date
10/29/2012
Last updated
06/02/2021
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