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NPI 1386347474

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

Practice location

1428 S 88th St

West Allis, WI 53214-4303

Phone: (414) 379-1079

More WI providers

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.

Elie Tadiesse Domguia — NPI 1386347474, West Allis, WI | NPI Central