Individual
ABEBA FETENE MEKONNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1214 CARPENTER ST, MADISON, WI 53704-4304
(608) 215-3947
Mailing address
1214 CARPENTER STREET, MADISON, WI 53704
(608) 215-3947
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
164W00000X
WI
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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