Individual
MR. PRINCE MABIALA
Active
Individual
MR. PRINCE MABIALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
AZ
347C00000X
Private Vehicle
APF8708
AZ
347C00000X
Private Vehicle
Primary
ATN9038
AZ
347C00000X
Private Vehicle
AVF9340
AZ
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
Update your record
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