Individual
FREDY KABONGO NTAMBWE-KALALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2386 E BOXWOOD LN, EAGLE MOUNTAIN, UT 84005-6560
(801) 898-6934
Mailing address
2386 E BOXWOOD LN, EAGLE MOUNTAIN, UT 84005-6560
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
UT
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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