Individual
MR. ENDALKACHEW MENGSTE AYELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MR.
Contact information
Practice address
10785 E EXPOSITION AVE # C320, AURORA, CO 80012-2118
(720) 550-2401
Mailing address
10785 E EXPOSITION AVE # C320, AURORA, CO 80012-2118
(720) 550-2401
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
163370364
CO
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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