Individual
MINYAHEL BELACHEW WOLDEKERKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 COBBLESTONE DR, WYLIE, TX 75098-7405
(214) 453-9596
Mailing address
201 COBBLESTONE DR, WYLIE, TX 75098-7405
(214) 453-9596
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
36733100
TX
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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