Individual
MS. MANYAHLISHAL TELAHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6104 OLD BRANCH AVENUE, TEMPLE HILLS, MD 20748-2518
(301) 702-6100
(301) 702-6367
Mailing address
2101 EAST JEFFERSON STREET, PPQA MEDICARE COMPLIANCE UNIT 6 WEST ATTN THERESA BROOK, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R117862
MD
Other
Enumeration date
12/21/2006
Last updated
06/03/2021
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