NPI 1568926236

Dereje Dadi Areda

Practitioner Driver San Jose, CA

Practice location

Address: 360 Meridian Ave APT 211, San Jose, CA 95126-3460
Phone: (408) 449-8182

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence D7101939 (CA)

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Registry record

NPI: 1568926236
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jan 2019
Record last updated: 28 Jan 2019

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.