Individual
MILLA KIDANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10330 CIMMARON TRL, DALLAS, TX 75243-2520
(469) 443-2979
Mailing address
10330 CIMMARON TRL, DALLAS, TX 75243-2520
(469) 443-2979
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
TX
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
07/01/2021
Last updated
09/23/2022
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