Samuel Gebremedhn Etay

NPI #1417811498 in Meridian, Idaho

Provider Information

NPI Number
1417811498
Entity Type
Individual
Name
Samuel Gebremedhn Etay
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Health Worker
Enumeration Date
Dec 12, 2025
Last Updated
Dec 12, 2025

Practice Location

Address
6269 S ASPIRATION AVE
State
Idaho
ZIP Code
83642-1058
Phone
(970) 449-3655

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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