Provider Demographics
NPI:1982499208
Name:TESFAZION, YODIT
Entity type:Individual
Prefix:
First Name:YODIT
Middle Name:
Last Name:TESFAZION
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6101 16ST NW
Mailing Address - Street 2:821
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011
Mailing Address - Country:US
Mailing Address - Phone:202-705-4333
Mailing Address - Fax:
Practice Address - Street 1:6101 16TH ST NW APT 821
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1765
Practice Address - Country:US
Practice Address - Phone:202-705-4333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant