Provider Demographics
NPI:1194397091
Name:DEBELA, SOSNA
Entity Type:Individual
Prefix:
First Name:SOSNA
Middle Name:
Last Name:DEBELA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1355 PEABODY ST NW APT 112
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1873
Mailing Address - Country:US
Mailing Address - Phone:202-468-2366
Mailing Address - Fax:
Practice Address - Street 1:1355 PEABODY ST NW APT 112
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1873
Practice Address - Country:US
Practice Address - Phone:202-468-2366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide