Individual
YARED TEKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3923 DUNES WAY, BURTONSVILLE, MD 20866-1375
(240) 421-1204
Mailing address
3923 DUNES WAY, BURTONSVILLE, MD 20866-1375
(240) 421-1204
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R189003
MD
Other
Enumeration date
03/06/2022
Last updated
03/06/2022
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