Individual
FITSUM ABREHA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CROSS DME SUPPLIER
Contact information
Practice address
4760 N 28TH ST, PHOENIX, AZ 85016-4846
(480) 277-1016
Mailing address
4760 N 28TH STREET, PHOENIX, AZ 85339
(480) 277-1016
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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