Individual
PORTIA MABASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4519 FALLEN APPLE LN, LOUISVILLE, KY 40218-4776
(502) 876-7360
Mailing address
4519 FALLEN APPLE LN, LOUISVILLE, KY 40218-4776
(502) 876-7360
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
KY
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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