Individual
MICHEALE EYASU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2780 S ENSENADA CT, AURORA, CO 80013-4746
(720) 629-4939
Mailing address
2780 S ENSENADA CT, AURORA, CO 80013-4746
(720) 629-4939
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84-3926057
—
CO
Enumeration date
07/30/2020
Last updated
07/30/2020
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