Individual
SAMSON TEFERI HAILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 15TH ST NW APT 709, WASHINGTON, DC 20009-5867
(240) 838-4297
Mailing address
7322 WESTMORE DR, SPRINGFIELD, VA 22150-4266
(240) 838-4297
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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