Most Relevant Information
Provider Data
| NPI Number: | 1003561051 |
| Provider Name: | TESFOM BERHE CCP |
| Entity Type: | Individual |
| Taxonomy Code: | 242T00000X |
| Specialty: | Perfusionist |
| License Number: | 149088-0159 |
Most Important Dates
| Enumeration Date: | 02/17/2022 |
| Last Updated: | 02/17/2022 |
Provider Practice Location
2000 MOWRY AVE
FREMONT
CA
945381716
Practice Location Phone/Fax
| Phone: | 5107971111 |
| Fax: |
Provider Mailing Location
70 HARLAN ST APT 109
SAN LEANDRO
CA
945775844
Provider Mailing Phone/Fax
| Phone: | 5734653214 |
| Fax: |