Individual
ROMARIC BANTUMBAKULU MUKUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 SAINT MARYS DR STE 510, EVANSVILLE, IN 47714-0511
(812) 485-4422
Mailing address
113 N SEA FURY LN APT 102, BOISE, ID 83704-9453
(208) 850-6056
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IN
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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