Individual
YALEW TAMRAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4040 E MCDOWELL RD STE 405, PHOENIX, AZ 85008-4448
(202) 415-0500
Mailing address
4185 E BONANZA RD, GILBERT, AZ 85297-4402
(480) 548-3307
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D08910787
AZ
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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