Most Relevant Information
Provider Data
| NPI Number: | 1003504473 |
| Provider Name: | KEDUSE W FELEKE |
| Entity Type: | Individual |
| Taxonomy Code: | 172A00000X |
| Specialty: | Driver |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/25/2023 |
| Last Updated: | 05/02/2023 |
Provider Practice Location
5716 N BLACK CANYON HWY APT 48
PHOENIX
AZ
850172110
Practice Location Phone/Fax
| Phone: | 6232995688 |
| Fax: |
Provider Mailing Location
5716 N BLACK CANYON HWY APT 48
PHOENIX
AZ
850172110
Provider Mailing Phone/Fax
| Phone: | 6232995688 |
| Fax: |