Individual
MASRESHA HAILU WODAJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5728 N BLACK CANYON HWY APT 13, PHOENIX, AZ 85017-2108
(602) 327-3041
Mailing address
5728 N BLACK CANYON HWY APT 13, PHOENIX, AZ 85017-2108
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
AZ
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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