Individual provider · Type 1 NPI

Nebiyu Jamal Fanta

Driver · St. Paul, MN

NPI number 1013498872 Active

Practice location

478 University Ave W
St. Paul, MN 55103-1935

Call (202) 779-8511 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XM153136798609 (MN)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1013498872

Nebiyu Jamal Fanta's National Provider Identifier is 1013498872, issued on Aug 28, 2018. The primary taxonomy on file is Driver (172A00000X), and the practice location is in St. Paul, MN. The record was last updated on Aug 28, 2018.