IYASU BAZEZEW

LORTON, VA
NPI1811768526
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2024-01-11
Last Update Date2024-01-11
Business Address
IYASU BAZEZEW
8192 HALLEY CT
LORTON, VA 22079-2907
Phone number: 571-594-9829
Mailing Address
IYASU BAZEZEW
8192 HALLEY CT
LORTON, VA 22079-2907
Phone number: 571-594-9829
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