Individual
NAZARETH TESFASILASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADMIN, RN
Contact information
Practice address
7216 PALM AVE STE C, HIGHLAND, CA 92346-3280
(909) 782-6925
Mailing address
7216 PALM AVE STE C, HIGHLAND, CA 92346-3280
(909) 782-6925
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN95205516
CA
Other
Enumeration date
07/11/2021
Last updated
07/11/2021
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