| NPI | 1073124335 |
|---|---|
| Doing Business As | KIBREAB DEMISSIE |
| Entity Type | Organization |
| Authorized Contact | KIBREAB DEMISSIE Owner 172-049-2549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |