Most Relevant Information
Provider Data
| NPI Number: | 1003425349 |
| Provider Name: | SELAMAWIT TERADAW WOLDE |
| Entity Type: | Individual |
| Taxonomy Code: | 172A00000X |
| Specialty: | Driver |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/22/2020 |
| Last Updated: | 07/22/2020 |
Provider Practice Location
1633 E WOODMEN RD APT 20
COLORADO SPRINGS
CO
809203301
Practice Location Phone/Fax
| Phone: | 7206517468 |
| Fax: |
Provider Mailing Location
1633 E WOODMEN RD APT 20
COLORADO SPRINGS
CO
809203301
Provider Mailing Phone/Fax
| Phone: | 7206517468 |
| Fax: |