Individual
HAREGEWOIN TESFAYE MOLTOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7912 LOCKNEY AVE, TAKOMA PARK, MD 20912-7410
(202) 446-8750
Mailing address
7912 LOCKNEY AVE, TAKOMA PARK, MD 20912-7410
(202) 446-8750
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
AOO203274
MD
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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