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Individual

MELAKU DAMTE DEMSSIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4985 MARKET ST APT 315, SAN DIEGO, CA 92102-4730
(619) 252-5846
Mailing address
4985 MARKET ST APT 315, SAN DIEGO, CA 92102-4730
(619) 252-5846

Taxonomy

Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
38504Z1
CA

Other

Enumeration date
08/07/2023
Last updated
08/07/2023
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