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NPI Code Detail

MEDICARE: MULUKEN T AYMIERW

MEDICARE:   MULUKEN T AYMIERW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1285406389
Entity Type Code : Individual
Provider Name (Legal Business Name) : MULUKEN T AYMIERW
Provider Business Mailing Address
First Line : 34 MORRO BAY DR
Second Line :
City : MANVEL
State : TX
Zip : 77578-4281
Country : US
Telephone Number : 503-810-2428
Fax Number :
Provider Business Practice Location Address
First Line : 34 MORRO BAY DR
Second Line :
City : MANVEL
State : TX
Zip : 77578-4281
Country : US
Telephone Number : 503-810-2428
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2023
Last Update Date : 10/23/2023

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Directions to “ MULUKEN T AYMIERW ” Practice Location

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