Individual
ESAYAS MELAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6236 HORTON CIR APT 36A, FORT WORTH, TX 76133-3765
(972) 215-8609
Mailing address
6236 HORTON CIR APT 36A, FORT WORTH, TX 76133-3765
(972) 215-8609
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
03/25/2021
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