Robel Bedali Redae
Driver in Greeley, CO. Individual provider (NPI-1).
NPI number1629723911
StatusActive
Last updated in NPPESFeb 16, 2022
Details
- NPI
- 1629723911
- Entity type
- Individual (NPI-1)
- Name
- Robel Bedali Redae
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 16, 2022
- Certification date
- Feb 16, 2022
- Last updated
- Feb 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | 12-257-0510 | CO | Yes |
Practice location
2703 W 26th Street RdGreeley, CO 80634-8022
Phone 206-476-5495
Mailing address
2703 W 26th Street RdGreeley, CO 80634-8022
Phone 206-476-5495
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All 5 Driver providers in Greeley · All 4,423 providers in Greeley
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