Individual
KIDIST TESSEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 ROCK CREEK FORD RD NW APT 214, WASHINGTON, DC 20011-1756
(504) 505-2230
Mailing address
1440 ROCK CREEK FORD RD NW APT 214, WASHINGTON, DC 20011-1756
(504) 505-2230
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
HHA15522
DC
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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