Individual
MR. BINYAM GEBREGZIABER GEBREHIWOT I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4951 68TH ST, SAN DIEGO, CA 92115-1704
(858) 302-9839
Mailing address
4951 68TH ST, SAN DIEGO, CA 92115-1704
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
105879
CA
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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