Individual
MIKIYAS FESSHA TEGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 EVANSTON COURT, AURORA, CO 80011
(720) 936-9502
Mailing address
501 EVANSTON CT, AURORA, CO 80011-8984
(720) 936-9502
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CO
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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