Individual
BERHAN BEKELE DESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4425 14TH ST NW APT 46, WASHINGTON, DC 20011-7038
(240) 437-8326
Mailing address
4425 14TH ST NW APT 46, WASHINGTON, DC 20011-7038
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14610
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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