Individual
MR. JEJAW SHIBABAW GOSHU I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 YELTON CT, NASHVILLE, TN 37211-3423
(615) 335-6479
Mailing address
212 YELTON CT, NASHVILLE, TN 37211-3423
(615) 335-6479
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TN
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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