Individual
ABDISSA F BIRRU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5060 DELLERS GLEN DR, CINCINNATI, OH 45238-4869
(510) 586-5799
Mailing address
5060 DELLERS GLEN DR, CINCINNATI, OH 45238-4869
(510) 586-5799
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
202312302736
OH
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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