Individual
GENET MELESSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3612 GLASTONBURY TRL, PFLUGERVILLE, TX 78660-3468
(512) 659-5990
Mailing address
3612 GLASTONBURY TRL, PFLUGERVILLE, TX 78660-3468
(512) 659-5990
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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