Individual
FATUMATA SANOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1237 ORCHARD AVE APT B, SPRINGFIELD, IL 62702-4779
(217) 843-7046
Mailing address
1237 ORCHARD AVE APT B, SPRINGFIELD, IL 62702-4779
(217) 843-7046
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
23169PT
IL
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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