Mr. Elie Tadiesse Domguia
Mr. Elie Tadiesse Domguia is a Driver in West Allis, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1428 S 88th StWest Allis, WI 53214-4303
Phone: (414) 379-1079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1386347474 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 27, 2023 |
| Last updated in NPPES | March 27, 2023 |
| Certification date | March 25, 2023 |
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