Individual
AYELE GEBREHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2950 CHANEYVILLE RD, ATHLETIC DEPARTMENT, OWINGS, MD 20736-9665
(410) 535-1700
Mailing address
2950 CHANEYVILLE RD, ATHLETIC DEPARTMENT, OWINGS, MD 20736-9665
(410) 535-1700
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000922
MD
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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