Individual
EYOB TESFAMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8025 13TH ST APT 312, SILVER SPRING, MD 20910-5817
(202) 793-9766
Mailing address
8025 13TH ST APT 312, SILVER SPRING, MD 20910-5817
(202) 793-9766
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A00185635
—
MD
Enumeration date
09/09/2020
Last updated
09/09/2020
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