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NPI Code Detail

MEDICARE: YONAS BARIAGABER FISHATSION

MEDICARE: YONAS BARIAGABER FISHATSION
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
1106H00000XMarriage & Family TherapistIMF65548CA

General Provider Information

NPI Number : 1952692386
Entity Type Code : Individual
Provider Name (Legal Business Name) : YONAS BARIAGABER FISHATSION
Provider Business Mailing Address
First Line : 1898 THE ALAMEDA
Second Line :
City : SAN JOSE
State : CA
Zip : 95126-1733
Country : US
Telephone Number : 408-928-1700
Fax Number : 408-928-1701
Provider Business Practice Location Address
First Line : 1898 THE ALAMEDA
Second Line :
City : SAN JOSE
State : CA
Zip : 95126-1733
Country : US
Telephone Number : 408-928-1700
Fax Number : 408-928-1701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2011
Last Update Date : 05/21/2013

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Directions to “ YONAS BARIAGABER FISHATSION ” Practice Location

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