Individual
BENJAMIN MUSAJA KITOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
345 PHOENIX DR, SAINT LOUIS, MO 63129-2644
(314) 482-0861
Mailing address
345 PHOENIX DR, SAINT LOUIS, MO 63129-2644
(314) 482-0861
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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