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Enatalem Ejerssa
NPI 1407422033 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1215 Palmer Rd Apt 1
Fort Washington, MD 20744 - Phone
- (510) 692-2053
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 163WM1400X
- Licence states on file
- VA, MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-03
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 Maryland