Individual
SAMUEL GEBREMICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
861 S MEMPHIS WAY, AURORA, CO 80017-3103
(720) 338-7860
Mailing address
861 S MEMPHIS WAY, AURORA, CO 80017-3103
(720) 338-7860
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
09/07/2023
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