Individual
EYOB BELAY WOLDETNSAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1823 E WEST HWY, HYATTSVILLE, MD 20783-3032
(301) 439-7100
(301) 439-7134
Mailing address
1517 REGENT MANOR CT, SILVER SPRING, MD 20904-2209
(240) 401-0728
(301) 622-0226
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17811
MD
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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