Individual
MR. RWASA SYLVESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1024 WALTER AVE, LOUISVILLE, KY 40215-2334
(502) 291-0617
Mailing address
1024 WALTER AVE, LOUISVILLE, KY 40215-2334
(502) 291-0617
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
R07648686
KY
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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