NISEBHO KEFELEGN FANTAYE

MARYSVILLE, CA
NPI1942875778
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  62852)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2021-05-24
Last Update Date2023-09-05
Business Address
NISEBHO KEFELEGN FANTAYE PA-C
726 4TH ST
MARYSVILLE, CA 95901-5656
Phone number: 530-749-4300
Mailing Address
NISEBHO KEFELEGN FANTAYE PA-C
726 4TH ST
MARYSVILLE, CA 95901-5656
Phone number:
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