Provider Demographics
NPI:1366260721
Name:GEBERE, ALMAZ YADESSA
Entity type:Individual
Prefix:
First Name:ALMAZ
Middle Name:YADESSA
Last Name:GEBERE
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 1:12407 THOROUGHBRED DR
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-8343
Mailing Address - Country:US
Mailing Address - Phone:614-397-7804
Mailing Address - Fax:
Practice Address - Street 1:6531 E LIVINGSTON AVE
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-3502
Practice Address - Country:US
Practice Address - Phone:614-986-9901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide