Individual
PATRICIA KAGENDO MUTUNGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2813 FAIRMONT DR, PANAMA CITY, FL 32405
(573) 529-6285
Mailing address
4508 TARA LN, PANAMA CITY, FL 32404-4100
(573) 529-6285
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/11/2018
Last updated
08/11/2018
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