Individual
ELROII DESSALEGN SHIBESHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 S HAVANA ST APT 212, DENVER, CO 80012-2904
(720) 532-7016
Mailing address
1001 S HAVANA ST APT 212, DENVER, CO 80012-2904
(720) 532-7016
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
132800663
CO
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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