Ebise Bayisa

NPI #1538745047 in Blaine, Minnesota

Provider Information

NPI Number: 1538745047
Entity Type: Individual
Name: Ebise Bayisa
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Respite Care - Respite Care, Physical Disabilities, Child
Enumeration Date: Mar 23, 2021
Last Updated: Mar 23, 2021

Practice Location

Address: 12457 MIDWAY CIR NE
City: Blaine
State: Minnesota
ZIP Code: 55449-6228
Phone: (612) 423-5057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care - Respite Care, Physical Disabilities, Child — Respite Care, Physical Disabilities, Child	385HR2065X	Primary

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Organizations

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