Individual
HAILU DAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 GARRETT AVE, LA PLATA, MD 20646-5960
(301) 668-9988
Mailing address
11821 PITTSON RD, SILVER SPRING, MD 20906-4737
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R177688
MD
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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