Individual
KIDIST WORKU GONDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 N SCOTTSDALE RD, TEMPE, AZ 85288-1365
(602) 831-5500
Mailing address
2100 N SCOTTSDALE RD, TEMPE, AZ 85288-1365
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/17/2026
Last updated
01/17/2026
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