Individual
MR. YARED MELAKU MAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 S DAYTON ST APT 3-203, DENVER, CO 80247-1330
(720) 240-7420
Mailing address
600 S DAYTON ST APT 3-203, DENVER, CO 80247-1330
(720) 240-7420
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
140650453
CO
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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