Individual
TIGIST SOLOMON LEGESE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 14TH ST NW, WASHINGTON, DC 20009-6863
(571) 208-6007
Mailing address
503 ROCK CREEK CHURCH RD NE, WASHINGTON, DC 20010
(202) 855-6870
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
3994874
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3994874
—
DC
05
—
70638444
—
DC
Enumeration date
03/06/2020
Last updated
11/29/2023
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