Individual
BEMNET GEBREYESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 MARSH RD, CHARLOTTE, NC 28209-1851
(980) 318-1173
Mailing address
716 MARSH RD, CHARLOTTE, NC 28209-1851
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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