Individual
MR. MEHARI CAHSAI KIDANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
S
Contact information
Practice address
1829 E FAIRMOUNT AVE, 1829 E,FAIRMOUNT AVE, PHOENIX, AZ 85016-5903
(602) 577-4419
(602) 274-0452
Mailing address
1829 E FAIRMOUNT AVE, 1829 E,FAIRMOUNT AVE, PHOENIX, AZ 85016-5903
(602) 577-4419
(602) 274-0452
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B10067102
AZ
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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