Individual
TADESSE G TADESSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2648 GRANITE HILL CIR APT B, RICHMOND, VA 23225-2068
(202) 641-2813
Mailing address
2648 GRANITE HILL CIR APT B, RICHMOND, VA 23225-2068
(202) 641-2813
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
H135887
VA
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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