Individual
TEKLEAB ELOS HAILU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TRANSPORTATION PROVI
Contact information
Practice address
4810 FLANDERS WAY, DENVER, CO 80249-7528
(720) 278-1330
Mailing address
4810 FLANDERS WAY, DENVER, CO 80249-7528
(720) 278-1330
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
285 MCT
CO
347C00000X
Private Vehicle
Primary
900 LQJ
CO
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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