Individual provider · Type 1 NPI

Elie Tadiesse Domguia

Driver · West Allis, WI

NPI number 1386347474 Active

Practice location

1428 S 88th St
West Allis, WI 53214-4303

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 1386347474

Elie Tadiesse Domguia's National Provider Identifier is 1386347474, issued on Mar 27, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in West Allis, WI. The record was last updated on Mar 27, 2023.