Individual
MEKDELAWIT TEDLA WOLDESILASSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 N MARTIN AVE, TUCSON, AZ 85721-0001
(520) 626-6154
Mailing address
5237 W ST KATERI DR, LAVEEN, AZ 85339-6933
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
288375
AZ
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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