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Yohannes Fissiha
NPI 1295346690 · on the registry since 2020 · sole proprietor
Practice
- Address
- 401 Orange Ave
Port Orange, FL 32127 - Phone
- (386) 767-6268
- Organisation at this address
- Sarg Port Orange Alf Llc
Heavenly Assisted Living, Inc.Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 310400000X
310400000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida