Healthcare Provider Details

I. General information

NPI: 1871008995
Provider Name (Legal Business Name): SEBLE YEMANE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2017
Last Update Date: 12/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7826 EASTERN AVE NW STE LL16
WASHINGTON DC
20012-1328
US

IV. Provider business mailing address

5104 N CAPITOL ST NW
WASHINGTON DC
20011-6712
US

V. Phone/Fax

Practice location:
  • Phone: 240-593-5040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: