Individual
BINIAM G HAGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4782 CAMPBELL AVE UNIT 11, SAN JOSE, CA 95130-1859
(669) 294-0736
Mailing address
4782 CAMPBELL AVE UNIT 11, SAN JOSE, CA 95130-1859
(669) 294-0736
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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