Individual
DEREJE DADI AREDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
360 MERIDIAN AVE APT 211, SAN JOSE, CA 95126-3460
(408) 449-8182
Mailing address
360 MERIDIAN AVE APT 211, SAN JOSE, CA 95126-3460
(408) 449-8182
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D7101939
CA
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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