Individual
AMANUEL ABEBAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5761 S CROSSBOW PL, CHANDLER, AZ 85249-3631
(253) 737-8469
Mailing address
5761 S CROSSBOW PL, CHANDLER, AZ 85249-3631
(253) 737-8469
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D07841236
AZ
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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