Individual
NTUNZWENIMANA KASIMU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 8TH ST APT 102, ROCK ISLAND, IL 61201-8332
(309) 558-7135
Mailing address
510 8TH ST APT 102, ROCK ISLAND, IL 61201-8332
(309) 558-7135
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
2540202022
IL
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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