MR. Elie Tadiesse Domguia
NPI #1386347474 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1386347474
- Entity Type
- Individual
- Name
- MR. Elie Tadiesse Domguia
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Driver
- Enumeration Date
- Mar 27, 2023
- Last Updated
- Mar 27, 2023
Practice Location
- Address
- 1428 S 88TH ST
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53214-4303
- Phone
- (414) 379-1079
Specialties & Taxonomy Codes
| Specialty |
|---|
| Driver |
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