Individual
KIDIST ALEMAYEHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8861 E FLORIDA AVE APT B218, DENVER, CO 80247-2836
(720) 477-9507
Mailing address
8861 E FLORIDA AVE APT B218, DENVER, CO 80247-2836
(720) 477-9507
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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