Individual
SURAFEL MAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 S DAYTON ST APT 15-109, DENVER, CO 80247-1340
(720) 614-2261
Mailing address
1001 S HAVANA ST APT 212, DENVER, CO 80012-2904
(720) 614-2261
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
—
CO
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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