Individual provider · Type 1 NPI

Yared Melaku Mamo

Driver · Denver, CO

NPI number 1104424985 Active

Practice location

600 S Dayton St Apt 3-203
Denver, CO 80247-1330

Call (720) 240-7420 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X140650453 (CO)

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

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About NPI 1104424985

Yared Melaku Mamo's National Provider Identifier is 1104424985, issued on Oct 13, 2020. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Denver, CO. The record was last updated on Oct 13, 2020.