Individual
BETELHEM YIMAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1159 S WACO ST UNIT B, AURORA, CO 80017-5769
(719) 213-1186
Mailing address
1159 S WACO ST UNIT B, AURORA, CO 80017-5769
(720) 338-8398
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/17/2015
Last updated
09/21/2021
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