Individual provider · Type 1 NPI
Bamlak Eshetea
Driver · Roanoke, VA
NPI number
1760052567
Active
Practice location
3310 Circle Brook Dr Apt B
Roanoke, VA 24018-8227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | B65301584 (VA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1760052567
Bamlak Eshetea's National Provider Identifier is 1760052567, issued on Jun 25, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Roanoke, VA. The record was last updated on Jul 24, 2021.