Individual
YOHANNES ANDOM KIDANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 RED CREEK SPRINGS RD LOT 54, PUEBLO, CO 81005-9723
(720) 492-7581
Mailing address
9695 E ARKANSAS PL, DENVER, CO 80247-5698
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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