Individual provider · Type 1 NPI

Dagnachew Fantaye

Private Vehicle · Bakersfield, CA

NPI number 1396444675 Active

Practice location

312 Calderwood Ln
Bakersfield, CA 93307-7324

Call (310) 910-2336 Map

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000X202252411943 (CA)

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

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About NPI 1396444675

Dagnachew Fantaye's National Provider Identifier is 1396444675, issued on Feb 27, 2023. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Bakersfield, CA. The record was last updated on Feb 27, 2023.