ADISU TESFAY KIROS

FRESNO, CA
NPI1720848427
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-20
Last Update Date2024-03-20
Business Address
ADISU TESFAY KIROS
4711 W ASHLAN AVE
FRESNO, CA 93722-4307
Phone number: 559-203-6640
Mailing Address
ADISU TESFAY KIROS
PO BOX 737
SAN JOAQUIN, CA 93660-0737
Phone number: 559-203-6640