Individual
MR. JACQUES KUBALUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5501 JACKSBORO HWY STE 606, FORT WORTH, TX 76114-1662
(214) 587-5763
Mailing address
5501 JACKSBORO HWY STE 606, FORT WORTH, TX 76114-1662
(214) 587-5763
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/23/2023
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