ASSEFA TAYE DESTA

SAN JOSE, CA
NPI1518116078
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2008-09-09
Last Update Date2008-09-09
Business Address
-- ASSEFA TAYE DESTA
4774 CAMPBELL AVE UNIT 12
SAN JOSE, CA 95130-1857
Phone number: 408-379-9938
Mailing Address
-- ASSEFA TAYE DESTA
4774 CAMPBELL AVE UNIT 12
SAN JOSE, CA 95130-1857
Phone number:
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