Habtamu Sisay
Technician, Personal Care Attendant in Washington, DC. Individual provider (NPI-1).
NPI number1548072093
StatusActive
Last updated in NPPESJan 22, 2025
Details
- NPI
- 1548072093
- Entity type
- Individual (NPI-1)
- Name
- Habtamu Sisay
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 22, 2025
- Certification date
- Dec 30, 2024
- Last updated
- Jan 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
1325 Upshur St Nw Apt 203Washington, DC 20011-5651
Phone 310-469-2623
Mailing address
1325 Upshur St Nw Apt 203Washington, DC 20011-5651
Phone 310-469-2623
Other practice locations
8502 16th St Apt 305
Silver Spring, MD 20910-2938
Silver Spring, MD 20910-2938
Phone 310-469-2623
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