Individual
SENTAYEHU GEBREMESKEL I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4709 EXPOSITION WAY, FORT WORTH, TX 76244-6094
(817) 798-0086
Mailing address
4709 EXPOSITION WAY, FORT WORTH, TX 76244-6094
(817) 798-0086
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
1119493
TX
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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