Individual
NAHOM MEKONNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1509 S SABLE BLVD APT C, AURORA, CO 80012-5548
(720) 285-8602
Mailing address
PO BOX 31065, AURORA, CO 80041-0065
(720) 285-8602
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
04/05/2023
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