Elie Tadiesse Domguia
NPI 1386347474 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1428 S 88th St
West Allis, WI 53214 - Phone
- (414) 379-1079
Registry record
- Primary taxonomy
- Driver
172A00000X
- Sex
- Male
- Record last updated
- 2023-03-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin