| NPI | 1003504473 |
|---|---|
| Former Name | ASALEFEW F WOLDEGIORGISE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 172A00000X Driver |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-05-02 |