DESTA BIRATU

SAN DIEGO, CA
NPI1902113418
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA  0024178271)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NY  633226)
Enumeration Date2010-09-03
Last Update Date2024-09-11
Business Address
DESTA BIRATU MSN, PMHNP-BC
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161-2419
Phone number: 858-552-8585
Mailing Address
DESTA BIRATU MSN, PMHNP-BC
2017 JEFFERSON ST SW
ROANOKE, VA 24014-2419
Phone number: 540-981-8025