Organization
US TAXI SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOITOM GEBRETINSAE FESSHATSION (PRESIDENT)
(804) 908-6090
Entity
Organization
Contact information
Practice address
10824 TUTELO CT, GLEN ALLEN, VA 23059-8033
(804) 908-6090
Mailing address
10824 TUTELO CT, GLEN ALLEN, VA 23059-8033
(804) 908-6090
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
002-00627389
VA
Other
Enumeration date
04/30/2017
Last updated
04/30/2017
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