IndividualActive
Elie Tadiesse Domguia
NPI 1386347474 · Driver · West Allis, WI
Provider details
- NPI number
- 1386347474
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
1428 S 88th St
West Allis, WI 53214-4303
Registry dates
- Enumerated
- 2023-03-27
- Last updated
- 2023-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.