Jerusalem Desalgn Derbew

NPI #1235982778 in Dallas, Texas

Provider Information

NPI Number: 1235982778
Entity Type: Individual
Name: Jerusalem Desalgn Derbew
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Apr 5, 2024
Last Updated: May 24, 2024

Practice Location

Address: 12225 GREENVILLE AVE STE 703
City: Dallas
State: Texas
ZIP Code: 75243-9362
Phone: (469) 748-7775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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