Individual
ZIMIYBELU BEYENE LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7109 FERNWOOD ST APT 2324, HENRICO, VA 23228-4028
(804) 503-1250
Mailing address
7109 FERNWOOD ST APT 2324, HENRICO, VA 23228-4028
(804) 503-1250
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L19691370
VA
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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