Individual
ELIYAS ANDEMICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2175 ACADEMY CIR STE 8, COLORADO SPRINGS, CO 80909-1682
(720) 400-6289
Mailing address
2175 ACADEMY CIR STE 8, COLORADO SPRINGS, CO 80909-1682
(720) 400-6289
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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