Individual
TRIZAH GITAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2905 UNIVERSITY DR, CRESTVIEW HILLS, KY 41017-2516
(858) 466-3729
Mailing address
2905 UNIVERSITY DR, CRESTVIEW HILLS, KY 41017-2516
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
G13-473-491
KY
343900000X
Non-emergency Medical Transport (VAN)
Primary
G13-473-491
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G13-473-491
—
KY
Enumeration date
02/23/2015
Last updated
02/23/2015
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