Yidnekachew Fantu

NPI #1699448431 in Leander, Texas

Provider Information

NPI Number: 1699448431
Entity Type: Individual
Name: Yidnekachew Fantu
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Jul 28, 2021
Last Updated: Jul 28, 2021

Practice Location

Address: 2707 CRYSTAL FALLS PKWY
City: Leander
State: Texas
ZIP Code: 78641-3587
Phone: (512) 636-8945

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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