Provider Demographics
NPI:1891423927
Name:IZERE LLC
Entity Type:Organization
Organization Name:IZERE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:NDUWIMANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-596-9802
Mailing Address - Street 1:5702 LUXEMBURG ST APT 301
Mailing Address - Street 2:
Mailing Address - City:NORTH BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3449
Mailing Address - Country:US
Mailing Address - Phone:240-596-9802
Mailing Address - Fax:
Practice Address - Street 1:5405 TUCKERMAN LN APT 594
Practice Address - Street 2:
Practice Address - City:NORTH BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-7320
Practice Address - Country:US
Practice Address - Phone:240-498-0631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company