Individual provider · NPI-1

Eyasu Asfaw

Chore Provider · Saint Louis, MO

NPI number1831729698
StatusActive
Last updated in NPPESJan 21, 2020

Details

NPI
1831729698
Entity type
Individual (NPI-1)
Name
Mr. Eyasu Asfaw
Sex
Male
Sole proprietor
No
Enumeration date
Jan 21, 2020
Certification date
Jan 21, 2020
Last updated
Jan 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
372500000X Chore Provider––Yes

Practice location

4144 Lindell Blvd Ste 222
Saint Louis, MO 63108-2932

Phone 314-875-0182

Mailing address

4144 Lindell Blvd Ste 222
Saint Louis, MO 63108-2932

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