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1275861353
WONDAYE TAMENE DERESSA
BETHESDA, MD
NPI
1275861353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner Primary Care
(Licence: MD R146322)
Enumeration Date
2009-11-30
Last Update Date
2023-08-11
Business Address
WONDAYE TAMENE DERESSA NP
8901 ROCKVILLE PIKE
BETHESDA, MD 20889-0001
Phone number: 301-400-1133
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Mailing Address
WONDAYE TAMENE DERESSA NP
10040 FALL RAIN DR
LAUREL, MD 20723-5771
Phone number: 240-355-1325
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