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NPI Code Detail

MEDICARE: TIGIST SOLOMON LEGESE II

MEDICARE:   TIGIST SOLOMON LEGESE II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant3994874DC

Other Identifiers

General Provider Information

NPI Number : 1841825130
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIGIST SOLOMON LEGESE II
Provider Business Mailing Address
First Line : 503 ROCK CREEK CHURCH RD NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20010
Country : US
Telephone Number : 202-855-6870
Fax Number :
Provider Business Practice Location Address
First Line : 2900 14TH ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-6863
Country : US
Telephone Number : 571-208-6007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2020
Last Update Date : 11/29/2023

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Directions to “ TIGIST SOLOMON LEGESE II ” Practice Location

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