NPI 1104424985

Yared Melaku Mamo

Practitioner Driver Denver, CO

Practice location

Address: 600 S Dayton St APT 3-203, Denver, CO 80247-1330
Phone: (720) 240-7420

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 140650453 (CO)

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Registry record

NPI: 1104424985
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Oct 2020
Record last updated: 13 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.