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Assefa Desta
NPI 1518116078 · on the registry since 2008 · sole proprietor
Practice
- Address
- 4774 Campbell Ave Unit 12
San Jose, CA 95130 - Phone
- (408) 379-9938
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Sex
- Male
- Record last updated
- 2008-09-09
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 California