Individual
MR. YAHIA ALIOSMAN EBENDRISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4615 BROMPTON DR, GREENSBORO, NC 27407-1205
(336) 450-6782
Mailing address
PO BOX 49041, GREENSBORO, NC 27419-1041
(336) 450-6782
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
23671618
NC
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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