Individual provider · Type 1 NPI
Muluneh Mekuanent Tizazu
Driver · Aurora, CO
NPI number
1639867567
Active
Practice location
1420 Moline St Apt 306
Aurora, CO 80010-3628
Mailing address
6165 Lehman Dr Ste 203-7
Colorado Springs, CO 80918-3441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 071210632 (CO) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1639867567
Muluneh Mekuanent Tizazu's National Provider Identifier is 1639867567, issued on Apr 27, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Aurora, CO. The record was last updated on Apr 27, 2023.