Individual
EBOR ABEBE TEDBABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3920 FREEPORT PL APT 11, HENRICO, VA 23233-1264
(202) 867-6677
Mailing address
3920 FREEPORT PL APT 11, HENRICO, VA 23233-1264
(202) 867-6677
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1254
VA
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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