Individual
MR. TESFAYE ENDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TRANSPORTATION
Contact information
Practice address
1712 EDMISTON WAY, MIDLOTHIAN, VA 23114-3236
(202) 361-6175
Mailing address
1712 EDMISTON WAY, MIDLOTHIAN, VA 23114-3236
(202) 361-6175
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
B69802540
VA
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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