NEBIYU FANTA

Driver

Active Individual
NPI: 1013498872

Practice Address

478 UNIVERSITY AVE W
Saint Paul, MN 55103

Phone: (202) 779-8511

Specialties

Specialty Code Primary License
Driver 172A00000X Yes M153136798609 (MN)

Frequently Asked Questions

NPI 1013498872 is the National Provider Identifier for NEBIYU FANTA, a Driver provider located in Saint Paul, MN. This NPI was enumerated on August 28, 2018.
NEBIYU FANTA practices at 478 UNIVERSITY AVE W, Saint Paul, MN 55103.

Quick Facts

NPI
1013498872
Type
Individual
Enumerated
Aug 28, 2018
Last Updated
Aug 28, 2018

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