Provider Demographics
NPI:1780369728
Name:TSEGA, ALEMZWED SEIFU
Entity type:Individual
Prefix:
First Name:ALEMZWED
Middle Name:SEIFU
Last Name:TSEGA
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 1:8346 ASHLYND PL
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-7622
Mailing Address - Country:US
Mailing Address - Phone:614-517-6021
Mailing Address - Fax:
Practice Address - Street 1:8346 ASHLYND PL
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-7622
Practice Address - Country:US
Practice Address - Phone:614-517-6021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide