LIA GEDAMU

ENCINO, CA
NPI1982052684
Professional NameTARIKWA GEDAMU
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WA  AP70054264)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: CA  95003319)
Enumeration Date2016-06-03
Last Update Date2025-11-24
Business Address
-- LIA GEDAMU NP
16260 VENTURA BLVD LL-15
ENCINO, CA 91436-2203
Phone number: 818-905-1567
Mailing Address
-- LIA GEDAMU NP
PO BOX 5127
EVERETT, WA 98206-5127
Phone number: 206-860-5414