Individual provider · Type 1 NPI

Fitsum Abreha Sr., CROSS DME SUPPLIER

Driver · Phoenix, AZ

NPI number 1124574579 Active

Practice location

4760 N 28th St
Phoenix, AZ 85016-4846

Call (480) 277-1016 Map

Mailing address

4760 N 28th Street
Phoenix, AZ 85339

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

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

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About NPI 1124574579

Fitsum Abreha Sr., CROSS DME SUPPLIER's National Provider Identifier is 1124574579, issued on Aug 26, 2016. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 26, 2016.