Individual provider · Type 1 NPI
Tewodros Gossaye Dagne
Driver · Peyton, CO
NPI number
1962101915
Active
Practice location
9874 Golf Crest Dr
Peyton, CO 80831-8361
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.
Another provider at this address
About NPI 1962101915
Tewodros Gossaye Dagne's National Provider Identifier is 1962101915, issued on Feb 28, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Peyton, CO. The record was last updated on Feb 28, 2023.