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ESUBALEW TADESSE AMERA

Transportation Services Non-emergency Medical Transport (VAN)

Provider NPI: 1962994616

Provider Information:
 ESUBALEW TADESSE AMERA 
Gender: M
Sole Proprietor

Practice Location:
5403 ROBINSON LN  WILLIAMSBURG, VA 23188-2920 US
Tel: 757-272-6331  Fax: --

Business Mailing Address:
5403 ROBINSON LN  WILLIAMSBURG, VA 23188-2920 US
Tel: 757-272-6331  Fax: --

NPI Information:
NPI: 1962994616
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y343900000XTransportation Services
Non-emergency Medical Transport (VAN)
VA901731
N347C00000XTransportation Services
Private Vehicle
VA901731

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 343900000X

Type:

Classification:



Definition:



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