Individual
MELKAM DEMISSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1833 CHEDDAR LOOP, APT. 812, AUSTIN, TX 78728-4001
(512) 744-3391
Mailing address
1833 CHEDDAR LOOP, APT. 812, AUSTIN, TX 78728-4001
(512) 744-3391
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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