Provider Demographics
NPI:1598638967
Name:JARSO, YOOSAN DALU
Entity type:Individual
Prefix:
First Name:YOOSAN
Middle Name:DALU
Last Name:JARSO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3203 PARKVIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51105-2842
Mailing Address - Country:US
Mailing Address - Phone:402-508-6882
Mailing Address - Fax:
Practice Address - Street 1:3203 PARKVIEW BLVD
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51105-2842
Practice Address - Country:US
Practice Address - Phone:402-508-6882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company