Individual
EMANUEL A TESFAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
879 E HERITAGE DR, COLUMBUS, OH 43213-3180
(502) 888-3666
Mailing address
879 E HERITAGE DR, COLUMBUS, OH 43213-3180
(502) 888-3666
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
VT262619
OH
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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