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Derese Gela

Non-emergency Medical Transport (VAN) in Woodbridge, VA. Individual provider (NPI-1).

NPI number1235944729
StatusActive
Last updated in NPPESFeb 11, 2025

Details

NPI
1235944729
Entity type
Individual (NPI-1)
Name
Derese Gela
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 11, 2025
Certification date
Feb 11, 2025
Last updated
Feb 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)––Yes
342000000X Transportation Network Company––

Practice location

15628 William Bayliss Ct
Woodbridge, VA 22191-6072

Phone 571-405-8974

Mailing address

15628 William Bayliss Ct
Woodbridge, VA 22191-6072

Phone 571-405-8974

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