Individual
FATUMA KIWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
11713 WOODCREEK S APT E, HUNTLEY, IL 60142-7350
(331) 230-1154
Mailing address
11713 WOODCREEK S APT E, HUNTLEY, IL 60142-7350
(331) 230-1154
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
K40024093749
IL
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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