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Individual

ETENESH MAMO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4207 ARKANSAS AVE NW, APT 2, WASHINGTON, DC 20011-5542
(703) 380-1595
Mailing address
4207 ARKANSAS AVE NW, APT 2, WASHINGTON, DC 20011-5542
(703) 380-1595

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11723
DC

Other

Enumeration date
01/19/2016
Last updated
01/19/2016
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