Individual
MR. WILLIE DITU KAYEMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N/A
Contact information
Practice address
1926 ACORN GLEN TRL, FRESNO, TX 77545-2121
(832) 714-9560
Mailing address
1926 ACORN GLEN TRL, FRESNO, TX 77545-2121
(832) 714-9560
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
TX
172V00000X
Community Health Worker
—
TX
343900000X
Non-emergency Medical Transport (VAN)
—
TX
344600000X
Taxi
—
TX
347C00000X
Private Vehicle
—
TX
347E00000X
Transportation Broker
Primary
—
TX
Other
Enumeration date
07/01/2019
Last updated
11/22/2020
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