Individual
KAHABI MPEMBA DEREFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2118 N TYLER RD STE 100 BLDG B, WICHITA, KS 67212-4912
(469) 587-9541
Mailing address
7272 E 37TH ST N APT 715, WICHITA, KS 67226-3215
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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