Individual
ABRAHAM DEREJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
483 SUNNYCLIFF PL, CENTERVILLE, OH 45459-4344
(937) 818-9948
Mailing address
483 SUNNYCLIFF PL, CENTERVILLE, OH 45459-4344
(937) 818-9948
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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