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NPI Code Detail

MEDICARE: ABNET WOLDEAB

MEDICARE: ABNET WOLDEAB
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1295663870
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABNET WOLDEAB
Provider Business Mailing Address
First Line : 490 N GRAPE ST
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-3079
Country : US
Telephone Number : 760-975-9939
Fax Number :
Provider Business Practice Location Address
First Line : 490 N GRAPE ST
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-3079
Country : US
Telephone Number : 760-975-9939
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2026
Last Update Date : 05/12/2026

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Directions to “ ABNET WOLDEAB ” Practice Location

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