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Bamlak Eshetea
Driver in Roanoke, Virginia
NPI 1760052567

Bamlak Eshetea is a Driver based in Roanoke, VA. Bamlak Eshetea practices in Roanoke, VA. The NPI Number for Bamlak Eshetea is 1760052567 and holds a License No. B65301584 (Virginia).

The current practice location address for Bamlak Eshetea is 3310 Circle Brook Dr Apt B, Roanoke, VA and can be reached out via phone at 571-315-2059.

Location: 3310 Circle Brook Dr Apt B, Roanoke, VA, 24018-8227
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760052567
Provider Name
Bamlak Eshetea
Credential
Provider Entity Type
Individual
Gender
Male
Address
3310 Circle Brook Dr Apt B, Roanoke, VA, 24018-8227
Phone Number
571-315-2059
Fax Number
Provider Enumeration Date
06/25/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B65301584 01 VA ID
institution
Provider Business Practice Location Address Details
Address
3310 Circle Brook Dr Apt B
City
Roanoke
State
Virginia
Zip
24018-8227
Phone Number
571-315-2059
Fax Number
person
Provider Business Mailing Address Details
Address
3310 Circle Brook Dr Apt B
City
Roanoke
State
Virginia
Zip
24018-8227
Phone Number
571-315-2059
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
B65301584 (Virginia)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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