KASSAHUN GEBRESELASE

Driver

Active Individual
NPI: 1346080033

Practice Address

2629 HIGHWAY OO
Farmington, MO 63640

Phone: (314) 764-0269

Specialties

Specialty Code Primary License
Driver 172A00000X Yes W050163003 (MO)

Frequently Asked Questions

NPI 1346080033 is the National Provider Identifier for KASSAHUN GEBRESELASE, a Driver provider located in Farmington, MO. This NPI was enumerated on May 29, 2024.
KASSAHUN GEBRESELASE practices at 2629 HIGHWAY OO, Farmington, MO 63640.

Quick Facts

NPI
1346080033
Type
Individual
Enumerated
May 29, 2024
Last Updated
May 29, 2024

Nearby Providers