NPI 1760052567
Bamlak Eshetea
Practice location
- Address
- 3310 Circle Brook Dr APT B, Roanoke, VA 24018-8227
- Phone
- (571) 315-2059
Registered specialties
Driver
Primary
Registry record
- NPI
- 1760052567
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Jun 2021
- Record last updated
- 24 Jul 2021
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.