Individual provider · NPI-1

Melkam Demissie

Private Vehicle · Austin, TX

NPI number1679942809
StatusActive
Last updated in NPPESSep 17, 2015

Details

NPI
1679942809
Entity type
Individual (NPI-1)
Name
Melkam Demissie
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 17, 2015
Last updated
Sep 17, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
347C00000X Private Vehicle––Yes

Practice location

1833 Cheddar Loop
Apt. 812
Austin, TX 78728-4001

Phone 512-744-3391

Mailing address

1833 Cheddar Loop
Apt. 812
Austin, TX 78728-4001

Phone 512-744-3391

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