NPI 1184254112

Dereje a Kifle

Practitioner Taxi Eglin Afb, FL

Practice location

Address: 1249 Maple Dr, Eglin Afb, FL 32542-1446
Phone: (850) 814-3998

Registered specialties

Taxi Primary

Transportation Services Taxonomy 344600000X Licence 3600100766098 (FL)

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Registry record

NPI: 1184254112
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jan 2020
Record last updated: 17 Jan 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.