FASIKA TEGEGN

SAINT PAUL, MN
NPI1134931066
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2025-01-27
Last Update Date2025-01-27
Business Address
FASIKA TEGEGN
9819 GLACIAL VALLEY BAY
SAINT PAUL, MN 55129-7530
Phone number: 612-501-7993
Mailing Address
FASIKA TEGEGN
9819 GLACIAL VALLEY BAY
SAINT PAUL, MN 55129-7530
Phone number: