Individual
BELAYNEH TAFESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
507 TISH CIR APT 507, ARLINGTON, TX 76006-2429
(817) 308-1178
(815) 301-8517
Mailing address
507 TISH CIR APT 507, ARLINGTON, TX 76006-2429
(817) 308-1178
(815) 301-8517
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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