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
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in West Allis
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.