Individual
MASRESHAW A TEBEJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3517 MARCONI AVE STE 107C1, SACRAMENTO, CA 95821-5328
(916) 855-9054
Mailing address
PO BOX 2331, CARMICHAEL, CA 95609-2331
(916) 885-9054
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
9FTF330
CA
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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