Individual
KIDIST NEGASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2175 ACADEMY CIR STE 201-3, COLORADO SPRINGS, CO 80909-1695
(720) 400-3539
Mailing address
1425 S DUQUESNE CT, AURORA, CO 80018-6143
(720) 400-3539
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
CO
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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