Most Relevant Information
Provider Data
NPI Number: | 1003573650 |
Provider Name: | SHUME CHEMEDA GUTA |
Entity Type: | Individual |
Taxonomy Code: | 374U00000X |
Specialty: | Home Health Aide |
License Number: |
Most Important Dates
Enumeration Date: | 11/18/2021 |
Last Updated: | 11/18/2021 |
Provider Practice Location
5919 14TH ST NW APT 108
WASHINGTON
DC
200111742
Practice Location Phone/Fax
Phone: | 2023612656 |
Fax: |
Provider Mailing Location
5919 14TH ST NW APT 108
WASHINGTON
DC
200111742
Provider Mailing Phone/Fax
Phone: | 2023612656 |
Fax: |