ZIMIYBELU BEYENE LAKE

HENRICO, VA
NPI1740842566
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: VA  L19691370)
Enumeration Date2019-07-01
Last Update Date2019-07-01
Business Address
ZIMIYBELU BEYENE LAKE
7109 FERNWOOD ST APT 2324
HENRICO, VA 23228-4028
Phone number: 804-503-1250
Mailing Address
ZIMIYBELU BEYENE LAKE
7109 FERNWOOD ST APT 2324
HENRICO, VA 23228-4028
Phone number: 804-503-1250
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