Individual
ALAZAR MELESE BIRHANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 N HUDSON AVE, SIOUX FALLS, SD 57104-1042
(605) 940-9324
Mailing address
1201 NORTH HUDSON AVE, SIOUX FALLS, SD 57104
(160) 594-0932
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
01724216
SD
347C00000X
Private Vehicle
Primary
1FC786
SD
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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