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Mr. Elie Tadiesse Domguia
Driver in West Allis, Wisconsin
NPI 1386347474

Elie Tadiesse Domguia is a Driver based in West Allis, WI. Elie Tadiesse Domguia practices in West Allis, WI. The NPI Number for Elie Tadiesse Domguia is 1386347474 and holds a License No. (Wisconsin).

The current practice location address for Elie Tadiesse Domguia is 1428 S 88Th St, West Allis, WI and can be reached out via phone at 414-379-1079.

Location: 1428 S 88Th St, West Allis, WI, 53214-4303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386347474
Provider Name
Elie Tadiesse Domguia
Credential
Provider Entity Type
Individual
Gender
Male
Address
1428 S 88Th St, West Allis, WI, 53214-4303
Phone Number
414-379-1079
Fax Number
Provider Enumeration Date
03/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1428 S 88Th St
City
West Allis
State
Wisconsin
Zip
53214-4303
Phone Number
414-379-1079
Fax Number
person
Provider Business Mailing Address Details
Address
1428 S 88Th St
City
West Allis
State
Wisconsin
Zip
53214-4303
Phone Number
414-379-1079
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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