Most Relevant Information
Provider Data
| NPI Number: | 1003393141 |
| Provider Name: | SAMRAWIT ADDISALEM SILESHIALEMU |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/22/2018 |
| Last Updated: | 03/24/2021 |
Provider Practice Location
1440 CANAL ST # 8448
NEW ORLEANS
LA
701122703
Practice Location Phone/Fax
| Phone: | 5049884272 |
| Fax: |
Provider Mailing Location
1440 CANAL ST # 8448
NEW ORLEANS
LA
701122703
Provider Mailing Phone/Fax
| Phone: | 5049884272 |
| Fax: |