Provider Demographics
NPI:1104578590
Name:TESFAY, MEBIRIHIT EMUN (CUSTOMER CARE)
Entity type:Individual
Prefix:
First Name:MEBIRIHIT
Middle Name:EMUN
Last Name:TESFAY
Suffix:
Gender:F
Credentials:CUSTOMER CARE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-3357
Mailing Address - Country:US
Mailing Address - Phone:614-776-4445
Mailing Address - Fax:844-643-9306
Practice Address - Street 1:785 S STATE ST
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-3357
Practice Address - Country:US
Practice Address - Phone:614-776-4445
Practice Address - Fax:844-643-9306
Is Sole Proprietor?:No
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide