Individual
FANTAYE ATLEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1822 JEFFERSON PL NW, WASHINGTON, DC 20036-2505
(202) 293-2931
Mailing address
ADDIS ABABA, ETHIOPIA, ADDIS ABABA, ADDIS ABABA 10000
2510911111843
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA10803
DC
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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