| NPI | 1447942743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEWODROS KEBEDE TEKLE Student In An Organized Health Care 559-203-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-05-24 |