Individual
TSEGAYE MAMO EBSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2184 S JOPLIN WAY, AURORA, CO 80013-1028
(720) 341-4631
Mailing address
2184 S JOPLIN WAY, AURORA, CO 80013-1028
(720) 341-4631
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
XOD558
CO
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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